rdf:type |
|
lifeskim:mentions |
|
pubmed:issue |
2-3
|
pubmed:dateCreated |
1992-2-21
|
pubmed:abstractText |
In order to evaluate the influence of glycemic control and hypertension on the development of diabetic nephropathy, we measured urinary excretion of albumin (AER) and other microproteins in non-insulin-dependent diabetes mellitus (NIDDM), and reexamined the 103 patients who had had AER less than 300 micrograms/min at the initial study 12-18 months later. AER in the patients with HbA1c greater than or equal to 7.5% increased significantly in both the normoalbuminuric (AER less than 30 micrograms/min) and microalbuminuric (30-300 micrograms/min) groups, whereas no significant change in AER was observed in the patients with HbA1c less than 7.5%. In the microalbuminuric group, AER in both hypertensive and normotensive patients increased significantly. In this group, the change in AER correlated positively with the change in alpha 1-microglobulin (alpha 1M). These results indicate that glycemic control has a greater influence on the development of nephropathy in its early stage than hypertension and that alpha 1M is as a good predictor of nephropathy as albumin.
|
pubmed:language |
eng
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0891-6632
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
5
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
160-1
|
pubmed:dateRevised |
2007-11-15
|
pubmed:meshHeading |
pubmed-meshheading:1722805-Acetylglucosaminidase,
pubmed-meshheading:1722805-Albuminuria,
pubmed-meshheading:1722805-Alpha-Globulins,
pubmed-meshheading:1722805-Biological Markers,
pubmed-meshheading:1722805-Blood Glucose,
pubmed-meshheading:1722805-Diabetes Mellitus, Type 2,
pubmed-meshheading:1722805-Diabetic Nephropathies,
pubmed-meshheading:1722805-Follow-Up Studies,
pubmed-meshheading:1722805-Hemoglobin A, Glycosylated,
pubmed-meshheading:1722805-Humans,
pubmed-meshheading:1722805-Hypertension,
pubmed-meshheading:1722805-Middle Aged,
pubmed-meshheading:1722805-Protease Inhibitors,
pubmed-meshheading:1722805-Proteinuria,
pubmed-meshheading:1722805-beta 2-Microglobulin
|
pubmed:articleTitle |
Influence of glycemic control and hypertension on urinary microprotein excretion in non-insulin-dependent diabetes mellitus.
|
pubmed:affiliation |
Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.
|
pubmed:publicationType |
Journal Article,
Comparative Study
|