Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
|
pubmed:dateCreated |
1994-2-15
|
pubmed:abstractText |
Previous cross-sectional studies have shown a significant correlation between limited joint mobility (LJM) and the microvascular complications of Type 1 diabetes, but whether LJM precedes and, therefore, may be regarded as an early marker for complications is unknown. Twenty-two Type 1 diabetic patients (10 male/12 female; diabetes duration at follow-up 20.1 +/- 1.3 (SEM) years) with LJM, and 22 subjects matched for age, sex, and duration of diabetes, without LJM were observed over a 10-year period. Both groups were free of retinopathy and negative for 'dipstick' proteinuria at baseline. After 10 years, of 22 patients with LJM, 10 had developed background and 3 proliferative retinopathy compared with 9 and 1 control subjects, respectively. Microalbuminuria (20 < or = albumin excretion rate < 200 micrograms min-1) was present in 3 and macroalbuminuria (albumin excretion rate > or = 200 micrograms min-1) in 2 of LJM patients compared with 6 and 1 control subjects, respectively. Ankle and toe vibration perception thresholds, HbA1, mean HbA1 (a mean of serial HbA1 measurements obtained during the 10-year follow-up period), and arterial blood pressure did not differ between the two groups (p > 0.05). At 10-year review, 9 of the control subjects had developed LJM of whom 4 had retinopathy and 4 microalbuminuria. Thus, while LJM may be another 'chronic complication' of diabetes, its presence does not appear to predict those at increased risk of developing microvascular complications.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Nov
|
pubmed:issn |
0742-3071
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
10
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
807-10
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:8281723-Adolescent,
pubmed-meshheading:8281723-Adult,
pubmed-meshheading:8281723-Aged,
pubmed-meshheading:8281723-Albuminuria,
pubmed-meshheading:8281723-Child,
pubmed-meshheading:8281723-Diabetes Mellitus, Type 1,
pubmed-meshheading:8281723-Diabetic Angiopathies,
pubmed-meshheading:8281723-Diabetic Nephropathies,
pubmed-meshheading:8281723-Diabetic Retinopathy,
pubmed-meshheading:8281723-Female,
pubmed-meshheading:8281723-Follow-Up Studies,
pubmed-meshheading:8281723-Hemoglobin A, Glycosylated,
pubmed-meshheading:8281723-Humans,
pubmed-meshheading:8281723-Incidence,
pubmed-meshheading:8281723-Joint Diseases,
pubmed-meshheading:8281723-Male,
pubmed-meshheading:8281723-Middle Aged,
pubmed-meshheading:8281723-Prospective Studies,
pubmed-meshheading:8281723-Time Factors
|
pubmed:year |
1993
|
pubmed:articleTitle |
Incidence of microvascular complications in type 1 diabetic subjects with limited joint mobility: a 10-year prospective study.
|
pubmed:affiliation |
Sir George E. Clark Metabolic Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
|
pubmed:publicationType |
Journal Article,
Comparative Study
|