Increased urinary albumin excretion is a marker of risk for retinopathy and coronary heart disease in patients with type 2 diabetes mellitus

被引:39
作者
Lunetta, M
Infantone, L
Calogero, AE
Infantone, E
机构
[1] Univ Catania, Sch Med, Dept Internal Med, Div Metab Dis, Catania, Italy
[2] Univ Catania, Sch Med, Dept Internal Med, Div Androl, Catania, Italy
[3] Univ Catania, Sch Med, Dept Internal Med, Div Nephrol, Catania, Italy
关键词
diabetes mellitus type 2; urinary albumin excretion; coronary heart disease; diabetic retinopathy;
D O I
10.1016/S0168-8227(98)00024-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The prevalence of increased urinary albumin excretion (UAE) (micro- and macroalbuminuria) and its association with diabetic retinopathy (DR) (evaluated by fluorescent angiography), coronary heart disease (CHD), and various related risk factors were studied in 320 type 2 diabetic patients. In this subsample of type 2 diabetic patients, microalbuminuria was present in 15% of the patients; macroalbuminuria in 4.8%, CHD in 9.9%, DR in 53.4%, and arterial hypertension in 46%. UAE was independently related to CHD (P < 0.05), retinopathy (P < 0.001), hypertension (P < 0.001), and triglycerides (P < 0.02). We conclude that increased UAE is associated to a greater frequency of retinopathy and CHD in type 2 diabetic patients. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:45 / 51
页数:7
相关论文
共 23 条
[1]  
BARNETT AH, 1985, LANCET, V1, P53
[2]   MICROALBUMINURIA - IMPLICATIONS FOR MICROVASCULAR AND MACROVASCULAR DISEASE [J].
DECKERT, T ;
KOFOEDENEVOLDSEN, A ;
NORGAARD, K ;
BORCHJOHNSEN, K ;
FELDTRASMUSSEN, B ;
JENSEN, T .
DIABETES CARE, 1992, 15 (09) :1181-1191
[3]   THE KIDNEY IN MATURITY ONSET DIABETES-MELLITUS - A CLINICAL-STUDY OF 510 PATIENTS [J].
FABRE, J ;
BALANT, LP ;
DAYER, PG ;
FOX, HM ;
VERNET, AT .
KIDNEY INTERNATIONAL, 1982, 21 (05) :730-738
[4]   HYPERTRIGLYCERIDEMIA AS A RISK FACTOR OF CORONARY HEART-DISEASE MORTALITY IN SUBJECTS WITH IMPAIRED GLUCOSE-TOLERANCE OR DIABETES - RESULTS FROM THE 11-YEAR FOLLOW-UP OF THE PARIS PROSPECTIVE-STUDY [J].
FONTBONNE, A ;
ESCHWEGE, E ;
CAMBIEN, F ;
RICHARD, JL ;
DUCIMETIERE, P ;
THIBULT, N ;
WARNET, JM ;
CLAUDE, JR ;
ROSSELIN, GE .
DIABETOLOGIA, 1989, 32 (05) :300-304
[5]   CARDIOVASCULAR RISK-FACTORS IN NON-INSULIN-DEPENDENT DIABETIC SUBJECTS WITH MICROALBUMINURIA [J].
HAFFNER, SM ;
MORALES, PA ;
GRUBER, MK ;
HAZUDA, HP ;
STERN, MP .
ARTERIOSCLEROSIS AND THROMBOSIS, 1993, 13 (02) :205-210
[6]  
HARRIS M, 1979, DIABETES, V28, P1039
[7]   PREVALENCE OF MICROALBUMINURIA IN OLDER-ONSET DIABETES [J].
KLEIN, R ;
KLEIN, BEK ;
MOSS, SE .
DIABETES CARE, 1993, 16 (10) :1325-1330
[8]   NIDDM AND ITS METABOLIC CONTROL PREDICT CORONARY HEART-DISEASE IN ELDERLY SUBJECTS [J].
KUUSISTO, J ;
MYKKANEN, L ;
PYORALA, K ;
LAAKSO, M .
DIABETES, 1994, 43 (08) :960-967
[9]  
LESOBRE B, 1994, DIABETES METAB, V20, P351
[10]  
MARSHALL SM, 1989, Q J MED, V70, P61