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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1987-8-4
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pubmed:abstractText |
The aim of the present study was to evaluate the role of residual insulin production in long-term Type 1 (insulin-dependent) diabetes mellitus. Ninety-seven patients with a disease duration of 9-16 years and onset before the age of 30 years were studied. C-peptide excretion in 24-h urine samples was measured as an indicator of residual insulin production. Thirty-five patients (36%) excreted C-peptide (greater than or equal to 0.2 nmol); as many as possible of them were carefully matched with a non-excretor patient with regard to age at onset of diabetes and disease duration. Twenty-nine pairs were obtained, and 22 of them agreed to participate in further investigations of glycaemic control and microangiopathic lesions. The patients who excreted C-peptide had significantly lower HbA1c than the non-excretor group, 6.9 +/- 0.3% vs 7.9 +/- 0.3%, (p less than 0.025). Moderate-to-advanced background retinopathy was found in 2 patients in the excretor group and in 7 patients in the non-excretor group. Microalbuminuria [ratio of albumin: creatinine (mg/l:mmol/l) greater than or equal to 5] was found in 1 and in 5 patients, respectively, while proteinuria [ratio of protein: creatinine (mg/l:mmol/l X 10) greater than or equal to 136] was found in 0 and in 4 patients, respectively. Microalbuminuria and/or proteinuria was found in 7 of the non-excretor group as compared to 1 in the excretor group (p = 0.046).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0012-186X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
208-13
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:3297896-Adolescent,
pubmed-meshheading:3297896-Adult,
pubmed-meshheading:3297896-Albuminuria,
pubmed-meshheading:3297896-Blood Pressure,
pubmed-meshheading:3297896-C-Peptide,
pubmed-meshheading:3297896-Diabetes Mellitus, Type 1,
pubmed-meshheading:3297896-Diabetic Nephropathies,
pubmed-meshheading:3297896-Diabetic Neuropathies,
pubmed-meshheading:3297896-Diabetic Retinopathy,
pubmed-meshheading:3297896-Female,
pubmed-meshheading:3297896-Hemoglobin A, Glycosylated,
pubmed-meshheading:3297896-Humans,
pubmed-meshheading:3297896-Insulin,
pubmed-meshheading:3297896-Male,
pubmed-meshheading:3297896-Proteinuria,
pubmed-meshheading:3297896-beta 2-Microglobulin
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pubmed:year |
1987
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pubmed:articleTitle |
Residual insulin production, glycaemic control and prevalence of microvascular lesions and polyneuropathy in long-term type 1 (insulin-dependent) diabetes mellitus.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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