Abstract:
:Although diabetes is a classical risk factor for macroangiopathy, the prevalence of renal artery stenosis (RAS) in this type of pathology has not been clearly determined. More than 50% of RAS occur in diabetic patients (almost exclusively Type 2), whereas autopsy findings and the few clinical surveys reported indicate that the percentage of RAS within the diabetic population is close to 30%. RAS occur especially in elderly subjects with Type 2 diabetes and multiple vascular involvement, and bilateral stenoses are frequent. Diagnostic imaging of RAS can cause adverse effects in the diabetic patient if iodinated contrast media are used, especially in cases of renal insufficiency. The presence of this risk factor requires that iodinated radiological explorations be performed with due caution, or that another product be substituted as a contrast agent (CO(2) or gadolinium), or that an imaging technique without iodine be used (colour Doppler ultrasound, magnetic resonance angiography). The therapeutic management of RAS in the diabetic patient differs little from that employed for other atheromatous stenoses of the renal artery. Endovascular treatment of RAS is the technique of choice for most patients, whether diabetic or not. The existence of diabetes has little effect on therapeutic strategy, except in cases of renal insufficiency when the risk of iodine overload should limit the doses of contrast medium or require the partial or even total substitution of another agent (CO(2), gadolinium). As in the case of other RAS, the indications depend on the lesion and the clinical presentation. Similarly, the results are both clinical and anatomical, and the existence of diabetes has a limited impact on these different parameters.
journal_name
Diabetes Metabjournal_title
Diabetes & metabolismauthors
Otal P,Janne D'othee B,Chabbert V,Meites G,Rousseau H,Joffre Fsubject
Has Abstractpub_date
2000-07-01 00:00:00pages
97-102eissn
1262-3636issn
1878-1780pii
62862journal_volume
26 Suppl 4pub_type
杂志文章,评审abstract:AIM:The aim of this study was to examine the racial and ethnic differences in the relationship between body fat distribution variables and serum lipid profiles. METHODS:Secondary data analyses were conducted on 708 healthy women (204 blacks, 247 whites and 257 Hispanics), aged 16-33 years, seen in an outpatients clini...
journal_title:Diabetes & metabolism
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更新日期:2010-09-01 00:00:00
abstract:AIMS:This study aimed to describe the 1-year evolution of type 2 diabetes (T2D) patients who attended inpatients education, and to assess whether quarterly outpatients counseling visits by nurses and dietitians can improve metabolic control and health-related behaviours. METHODS:Following in-hospital educational sessi...
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pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
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更新日期:2016-09-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
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journal_title:Diabetes & metabolism
pub_type: 杂志文章,评审
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journal_title:Diabetes & metabolism
pub_type: 杂志文章,评审
doi:
更新日期:1996-07-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
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更新日期:2000-09-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
doi:10.1016/s1262-3636(07)70287-2
更新日期:2006-09-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章,评审
doi:10.1016/j.diabet.2010.08.002
更新日期:2010-12-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章,评审
doi:
更新日期:1997-09-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
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更新日期:2011-11-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
doi:10.1016/j.diabet.2007.03.002
更新日期:2007-09-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章,评审
doi:
更新日期:2000-12-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2012-10-01 00:00:00
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journal_title:Diabetes & metabolism
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2011-12-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2001-02-01 00:00:00
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更新日期:2003-12-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
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更新日期:2015-12-01 00:00:00
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journal_title:Diabetes & metabolism
pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-04-01 00:00:00