Abstract:
BACKGROUND:Albuminuria is an early marker of kidney disease in patients with diabetes and/or hypertension undetected or untreated albuminuria is a leading cause of chronic kidney disease and cardiovascular events, The purpose of the present survey was to assess the prevalence of albuminuria in patients with diabetes and hypertension, treated with a combinations of renin angiotensin aldosterone system inhibitors and dihydropyridine calcium channel blockers. METHODS:The survey was performed in 105 Primary Care Units in Turkey and involved outpatients, routinely visited by either a specialist or a non-specialist physician. Albuminuria was evaluated in a spot morning urine sample, as albumin-creatinine ratio, using the Multistic-Clinitek-device analyzer (Siemens), that has a strong correlation with 24-h urinary albumin excretion. Microalbuminuria was defined as a loss of 3.4-33.9mg albumin/mmol creatinine and macroalbuminuria as a loss of >33.9mg albumin/mmol creatinine. Diabetes was assessed through documented blood glucose concentration or use antidiabetic drugs, whereas hypertension through blood pressure measurement and current antihypertensive treatment. RESULTS:The survey enrolled 1708 subjects with a prevalence of type 2 diabetes (87.6%). Albuminuria was detected in 52.0% of patients. Blood pressure was controlled in 37.0% and diabetes in 56.7%. The risk of albuminuria was significantly high in patients with uncontrolled diabetes (p<0.001) and blood pressure (p=0.009). CONCLUSIONS:In a large cohort of treated hypertensive patients with diabetes, albuminuria was present in about 50% and was correlated with poor diabetes and blood pressure control. Systematic screening of albuminuria, particularly in Primary Care, is an important tool for the early diagnosis of nephropathy.
journal_name
Prim Care Diabetesjournal_title
Primary care diabetesauthors
Fici F,Bakir EA,Beyaz S,Makel W,Robles NRdoi
10.1016/j.pcd.2018.08.008subject
Has Abstractpub_date
2018-12-01 00:00:00pages
558-564issue
6eissn
1751-9918issn
1878-0210pii
S1751-9918(18)30316-4journal_volume
12pub_type
杂志文章abstract:AIM:Depression is prevalent in patients with type 2 diabetes. It may have a negative impact on the management of diabetes mellitus and could affect weight. The main aim of the investigation was to evaluate the effect of antidepressant treatment (sertraline) on anthropometric variables and glycemic control in depressed ...
journal_title:Primary care diabetes
pub_type: 临床试验,杂志文章
doi:10.1016/j.pcd.2018.09.003
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:The previous study served impaired fasting glucose (IFG), a pre-diabetic state which was much greater than that of diabetic patients, have reached no consensus on its cut-off value. In this study, we aimed to explore the cut-off value of IFG via the associations of blood lipids with fasting plasma glucose (FP...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2019.07.004
更新日期:2020-04-01 00:00:00
abstract:AIM:We estimated the prevalence of undiagnosed diabetes, analyzed the influence of family history on the occurrence of T2D and evaluated its aggregation pattern in the Mauritanian population. METHODS:The prevalence of unknown diabetes was obtained using data compiled from 1278 Mauritanian adults applying a questionnai...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2012.12.002
更新日期:2013-04-01 00:00:00
abstract:AIM:To investigate if micro- and macrovascular co-morbidity has an influence on the time to insulin initiation in type 2 diabetes patients. METHODS:Longitudinal data from general practices in Germany, France and UK (Disease Analyzer) from 1995 to 2009 were analyzed, including 44,440 patients in Germany, 10,148 patient...
journal_title:Primary care diabetes
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pcd.2013.02.001
更新日期:2013-07-01 00:00:00
abstract:AIM:In the current study the relationship between self-reported nocturnal sleep duration (NSD) and daytime sleepiness with 24-h urinary protein excretion (UPE) and 24-h urinary albumin excretion (UAE) were investigated in patients with newly diagnosed type 2 diabetes mellitus. METHODS:All patients underwent history ta...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2013.01.002
更新日期:2013-04-01 00:00:00
abstract:AIMS:To assess changes over two years in the health status and management of a cohort of people with Type 2 diabetes from different ethnic groups within a primary care diabetes annual review programme in New Zealand. METHODS:The study evaluated changes in clinical measures and proportions achieving guideline targets f...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2008.08.002
更新日期:2008-12-01 00:00:00
abstract:AIMS:Chronic low-grade inflammation is closely linked to the development and progression of type 2 diabetes mellitus (T2DM). Since inflammatory markers tend to be chronically elevated in current smokers, we examined the association of inflammatory markers, including leukocyte counts and C-reactive protein (CRP) levels,...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2020.11.010
更新日期:2020-12-03 00:00:00
abstract:AIMS:Raising awareness of diabetic retinopathy (DR) was shown to be a key element for early diagnosis and treatment of this blinding disease. There is very limited data about the knowledge level, attitude, and behavior of diabetic patients regarding DR in Turkey. This study was planned to assess the awareness of DR and...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2013.04.002
更新日期:2013-12-01 00:00:00
abstract:AIMS:To describe the diabetic population receiving primary care from the Tshwane district public health services and to assess the quality of care of members of this population, their level of disease control and the extent of their complications. METHODS:A cluster-randomised trial was conducted in 12 primary care cli...
journal_title:Primary care diabetes
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pcd.2014.05.002
更新日期:2015-04-01 00:00:00
abstract:AIMS:The purpose of our investigation was to identify the genetic and clinical risk factors of type 2 diabetes mellitus (T2DM) and to predict the incidence of T2DM in Korean adults aged 40-69 at follow-up intervals of 5, 7, and 10years. METHODS:Korean Genome and Epidemiology Study (KoGES) cohort data (n=10,030) were u...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2018.07.004
更新日期:2019-02-01 00:00:00
abstract:AIMS:To identify factors associated with patients receiving foot examinations by primary health care nurses. METHODS:A cross-sectional survey of 287 randomly sampled primary health care nurses, from a total of 1091 in Auckland, completed a postal self-administered questionnaire and telephone interview. Biographical an...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2013.10.002
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:The collaborative care model has been shown in studies to be effective in achieving sustained treatment outcomes in chronic disease management. Its success is highly dependent on active patient engagement, provider endorsement and effective care management. This study sought to ask patients and providers wha...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2012.03.003
更新日期:2012-10-01 00:00:00
abstract:AIM:To identify risk factors of diabetic retinopathy (DR) among people with Type 2 diabetes mellitus in UK primary care. METHODS:A case-control study nested in a cohort of incident Type 2 diabetes identified in The Health Improvement Network database from 2000 to 2007. Cases were people with DR (N=7735) and controls w...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2016.01.002
更新日期:2016-08-01 00:00:00
abstract:AIMS:The aim of this study was to evaluate the knowledge about GDM and its corresponding relation with glycaemic level in GDM patients. METHOD:A cross-sectional study was conducted in antenatal clinic of Hospital Pulau Pinang, Malaysia from June 2013 to December 2013 using Gestational Diabetes Mellitus Knowledge Quest...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2014.07.007
更新日期:2015-06-01 00:00:00
abstract:AIMS:To assess differences in hemoglobin A1c (HbA1c) over time in diabetics treated by internal medicine physicians using the chronic care model (IMP-ancillary) or an advanced practice nurse (APN-IMP). METHODS:Retrospective, 2-group comparative design using administrative databases and matching of IMP-ancillary and AP...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2018.01.008
更新日期:2018-08-01 00:00:00
abstract:AIM:This paper determines whether patients with and without Diabetic Peripheral Neuropathy use suitable footwear, taking into account that these persons are subject to a significant loss of sensitivity in the feet. METHODS:Cross-sectional observational study was conducted of 108 participants with diabetes mellitus. In...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2020.08.009
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVES:Novel interventions are needed for long-term maintenance of diabetes control. We studied the effects of a group diabetes clinic (GDC) on diabetes control when compared to usual care with primary care providers (PCP). RESEARCH DESIGN/METHODS:Data from the electronic medical records of 56 patients were collec...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2010.09.004
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To examine the prevalence of chronic kidney disease (CKD) and related cardiovascular morbidity in a cross-sectional population in patients with type 2 diabetes (T2D) treated in a primary care setting in Finland. RESEARCH DESIGN AND METHODS:Data were collected and recorded from 42 primary care centres, which ...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2014.06.001
更新日期:2015-02-01 00:00:00
abstract:INTRODUCTION:Diabetes knowledge has a large impact on glycemic control. There is a pressing need for creation of validated tests of knowledge for different ethnic groups. OBJECTIVE:To create and validate a diabetes knowledge test (DKT) for young Indians with type 1 diabetes mellitus (T1DM). METHODS:We created a 34 it...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2018.12.001
更新日期:2019-06-01 00:00:00
abstract::There are several tools for the assessment of quality of life (QOL) in diabetes mellitus. In the current research, two standard questionnaires for evaluating of QOL were selected. First one was a questionnaire from the World Health Organization quality of life (WHOQOL-BREF 26) and the second one, The Iranian diabetics...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2011.02.001
更新日期:2011-07-01 00:00:00
abstract::Our study demonstrates that Ipswich Touch Test is reliable and comparable to established standardized tests that identify the risk of foot ulceration among Saudi patients with diabetes mellitus. The simplicity of the test will assist in overcoming the barriers to screen for and detect the risk of foot ulceration. ...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2014.10.007
更新日期:2015-08-01 00:00:00
abstract::The relative efficacy of different sodium glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide 1 receptor agonists (GLP-1 RAs) in reducing cardiorenal events in type 2 diabetic adults is unclear. We searched PubMed and Embase. Three primary endpoints were major adverse cardiovascular events (MACE), hos...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2020.08.017
更新日期:2020-09-07 00:00:00
abstract:OBJECTIVE:The objective of this observational open label trial was to characterize changes in diabetes self-management and psychological distress associated with a mobile health (mHealth) interactive voice response (IVR) self-management support program. METHODS:For 3-6 months, 301 patients with diabetes received weekl...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2014.06.003
更新日期:2015-04-01 00:00:00
abstract:AIMS:This study investigated (factors related to) (a) the response to a screening procedure for depression and anxiety in people with type 2 diabetes in primary care, and (b) participation in a subsequent randomised controlled trial targeting depressive or anxiety symptoms. METHODS:People with type 2 diabetes (n=1837)...
journal_title:Primary care diabetes
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pcd.2017.02.006
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:The main objective is to examine the effect of the introduction of a practice nurse (PN) on the quality of type 2 diabetes care. METHODS:Retrospective cohort study in 397 type 2 diabetes patients recruited from five general practices in the Netherlands. Measurements were performed in 2003, 2005 and 2007, to ...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2009.08.003
更新日期:2009-08-01 00:00:00
abstract:AIMS:This study aimed to characterize and estimate prevalence and frequency of mild to moderate hypoglycemia and potentially associated factors in a population of type 2 diabetes mellitus (T2DM) patients treated at ambulatory care level. METHODS:HIPOS-PHARMA was a nationwide observational, cross-sectional, multicenter...
journal_title:Primary care diabetes
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pcd.2018.06.001
更新日期:2018-12-01 00:00:00
abstract:AIMS:To evaluate the health-related quality of life (HRQoL) and functional capacity in relation to glycemic control among older home-dwelling primary care patients. METHODS:Electronic patient records were used to identify 527 people over 65 years with diabetes. Of these, 259 randomly selected subjects were invited to ...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2017.07.001
更新日期:2017-12-01 00:00:00
abstract:AIM:Among adults aged 20-45 years with type 2 diabetes mellitus, we examined the perceived quality of chronic care, and its associations with (i) sociodemographic and clinical characteristics, and (ii) diabetes distress. METHODS:In total, 216/460 (47%) completed a self-administered survey assessing sociodemographic ch...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2020.02.003
更新日期:2020-10-01 00:00:00
abstract:AIMS:We investigated to clarify factors associated with the efficacy of sitagliptin, a dipeptidyl peptidase (DPP)-IV inhibitor, for glycemic control including the confounding effect of concomitant drugs in patients with type 2 diabetes. METHODS:We included type 2 diabetes patients with HbA1c levels of ≥7% who were not...
journal_title:Primary care diabetes
pub_type: 杂志文章,多中心研究
doi:10.1016/j.pcd.2014.01.008
更新日期:2014-10-01 00:00:00
abstract:AIMS:To identify risk factors for falls in older people with diabetes mellitus (DM) and to develop a low-cost fall risk screening tool. METHODS:Older adults with DM (n = 103; age = 61.6 + 6.0 years) were recruited from diabetic clinics. Demographic, DM specific factors, lower limb strength and sensation, cognition, fe...
journal_title:Primary care diabetes
pub_type: 杂志文章
doi:10.1016/j.pcd.2020.05.006
更新日期:2020-12-01 00:00:00