Comparison of Effects of ACEIs and ARBs on Albuminuria and Hyperkalemia in Indonesian Hypertensive Type 2 Diabetes Mellitus Patients
Table 1
Anthropometric, sociodemographic, lifestyle, clinical, and pharmacological therapy characteristics of T2DM patients on ACEIs or ARBs.
Characteristics
ACEIs
ARBs
value
N = 57 (42.5)
N = 77 (57.5)
Sex
0.518a
Male
30 (52.6)
35 (45.5)
Female
27 (47.4)
42 (54.5)
Age (years)
58.07 ± 8.09
59.04 ± 8.25
0.499c
Categorical
0.835b
31–40 years
2 (3.5)
1 (1.3)
41–50 years
6 (10.5)
8 (10.4)
51–60 years
29 (50.9)
38 (49.4)
≥60 years
20 (35.1)
30 (39.0)
BMI (kg/m2)
26.85 ± 4.11
27.06 ± 4.46
0.782c
Categorical
0.008b
Underweight
1 (1.8)
− (0.0)
Normal
9 (15.8)
19 (24.7)
Overweight
13 (22.8)
4 (5.2)
Obesity I
18 (31.6)
38 (49.4)
Obesity II
16 (28.1)
16 (20.8)
Occupation
1.000a
Employed
14 (24.6)
20 (26.0)
Unemployed
43 (75.4)
57 (74.0)
Education
0.422b
Uneducated
—(0.0)
2 (2.6)
Elementary school graduates
5 (8.8)
5 (6.5)
Junior high school graduates
10 (17.5)
7 (9.1)
Senior high school graduates
21 (36.8)
33 (42.9)
College graduate
21 (36.8)
30 (39.0)
Smoking habit
0.399b
Smokers
6 (10.5)
6 (7.8)
Nonsmokers
48 (84.2)
62 (80.5)
Ex-smokers
3 (5.3)
9 (11.7)
Duration of type 2 diabetes (years)
10 (1–30)
10 (2–46)
0.554d
Categorical
0.296b
≤5 years
13 (22.8)
11 (14.3)
>5 years
44 (77.2)
66 (85.7)
Systolic blood pressure (mmHg) (n−102)
133 (90–193)
137 (97–205)
0.309d
Categorical
0.141a
≤140 mmHg
29 (67.4)
30 (50.8)
>140 mmHg
14 (32.6)
29 (49.2)
Diastolic blood pressure (mmHg) (n=102)
79 (54–105)
79 (45–96)
0.690d
Categorical
0.505a
≤90 mmHg
35 (81.4)
52 (88.1)
>90 mmHg
8 (18.6)
7 (11.9)
HbA1c (%)
7.3 (5.5–11.7)
7.5 (5.1–13.3)
0.466
Categorical
0.485a
≤7.0%
25 (43.9)
28 (36.4)
>7.0%
32 (56.1)
49 (63.6)
LDL cholesterol (mg/dL)
115 (58–190)
121 (47–264)
0.366d
Categorical
0.926a
<100 mg/dL
15 (26.3)
22 (28.6)
≥100 mg/dL
42 (73.7)
55 (71.4)
ACR (mg/g)
47.6 (3.20–4060.5)
50.80 (3.8–5504.6)
0.345d
Categorical
0.970a
≤30 mg/g
24 (42.1)
31 (40.3)
>30 mg/g
33 (57.9)
46 (59.7)
eGFR (mL/min/1.73 m2)
71.41 ± 19.93
64.08 ± 20.50
0.040c
Categorical
0.051a
≥60 mL/min/1.73 m2
40 (70.2)
40 (51.9)
30–59 mL/min/1.73 m2
17 (29.8)
37 (48.1)
Serum potassium (mmol/L)
4.9 (3.62–6.50)
4.9 (2.97–9.30)
0.780d
Categorical
0.860a
<5.5 mmol/L
46 (80.7)
60 (77.9)
≥5.5 mmol/L
11 (19.3)
17 (22.1)
Diabetes therapy
0.569b
Oral antidiabetic agents
22 (38.6)
26 (33.8)
Insulin
15 (26.3)
17 (22.1)
Combination therapy
20 (35.1)
34 (44.2)
Oral antidiabetic agents (n=102)
0.616b
Biguanides
17 (29.8)
24 (31.2)
Sulfonylurea
2 (3.5)
7 (9.1)
Α-glucosidase inhibitors
0 (0.0)
1 (1.3)
Combination
23 (40.4)
28 (36.4)
Hypertension therapy
0.110b
ACEIs/ARBs monotherapy
12 (21.1)
16 (20.8)
ACEIs/ARBs + 1 non-RAS inhibitors
30 (52.6)
33 (42.9)
ACEIs/ARBs + 2 non-RAS inhibitors
8 (14.0)
21 (27.3)
ACEIs/ARBs + 3 non-RAS inhibitors
4 (7.0)
7 (9.1)
ACEIs/ARBs + 4 non-RAS inhibitors
3 (5.3)
− (0.0)
ACEIs/ARBs usage duration (months)
6 (2–54)
16 (2–61)
Categorical
≤3 months
23 (40.4)
5 (6.5)
3–6 months
9 (15.8)
9 (11.7)
>6 months
25 (43.8)
63 (81.8)
ACEIs, angiotensin converting enzyme inhibitors; ARBs, angiotensin II receptor blockers, ACR, albumin to creatinine ratio; eGFR, estimated glomerular filtration rate (CKD-EPI equation). aContinuity correction; bPearson chi-square; cindependent t-test; dMann–Whitney test; denominator for each characteristic is number in respective groups; categorical data presented as n (%), continuous data presented in mean ± SD or median (min-max); statistically significant.