Abstract:
:The effect of early antihypertensive treatment on survival of patients with diabetic nephropathy was evaluated by studying two cohorts of Type 1 (insulin-dependent) diabetic patients developing persistent proteinuria in I: 1957-1973 (late treatment group n = 49) and II: 1979-1983 (early treatment group n = 71). At onset of nephropathy, the two cohorts were comparable with regard to age (29(8) vs 30(8) years, mean (SD], duration of diabetes (16(6) vs 18(7) years), blood pressure (132(16)/85(11) vs 134(16)/86(8) mm Hg), proteinuria (0.8(0.5-1.2) vs 0.8(0.6-1.2) g x 24 h-1, median (quartiles] and serum creatinine (87(14) vs (85(16) mumol x 1(-1]. The patients were followed frequently at the outpatients' clinic until death or for a median duration of 8 years. In the first cohort antihypertensive treatment was seldom used, whereas, in the second cohort antihypertensive treatment was started when blood pressure reached 144(18)/93(7) mm Hg. The probability of survival with a functioning kidney for more than 8 years was 48% in the first cohort and 87% in the second cohort, p less than 0.001. The improvement of survival was due mainly to a decreased mortality from uraemia. Early antihypertensive treatment is the most likely explanation for this improvement.
journal_name
Diabetologiajournal_title
Diabetologiaauthors
Mathiesen ER,Borch-Johnsen K,Jensen DV,Deckert Tdoi
10.1007/BF00297455subject
Has Abstractpub_date
1989-12-01 00:00:00pages
884-6issue
12eissn
0012-186Xissn
1432-0428journal_volume
32pub_type
杂志文章相关文献
DIABETOLOGIA文献大全abstract::A differing individual expression of fructosyllysine-specific receptors has been found on the monocytes of 90 insulin-dependent diabetic patients and 101 healthy control subjects. The degree of receptor expression is neither age- nor sex-dependent; however, in the diabetic group it correlates significantly with the se...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF02658499
更新日期:1996-10-01 00:00:00
abstract:AIMS/HYPOTHESIS:Reactive oxygen species (ROS) contribute to diabetes-induced glomerular injury and endoplasmic reticulum (ER) stress-induced beta cell dysfunction, but the source of ROS has not been fully elucidated. Our aim was to determine whether p47(phox)-dependent activation of NADPH oxidase is responsible for hyp...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-012-2586-1
更新日期:2012-09-01 00:00:00
abstract::Forearm perfusion studies were carried out to determine the responsiveness to insulin of the superficial forearm tissues in non-obese Type 2 (non-insulin-dependent) diabetics, and the interrelationships among plasma concentrations of glucose, insulin and non-esterified fatty acids (NEFA), tissue uptake of glucose and ...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF00281298
更新日期:1982-04-01 00:00:00
abstract:AIMS/HYPOTHESIS:Abnormal gut microbiota and blood metabolome profiles have been reported both in children and adults with uncomplicated type 1 diabetes as well as in adults with type 1 diabetes and advanced stages of diabetic nephropathy. In this study we aimed to investigate the gut microbiota and a panel of targeted ...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-020-05260-y
更新日期:2020-12-01 00:00:00
abstract::In order to examine the permeability of microvessels in diabetic children, the glomerular filtration rate, urinary excretion rates of albumin and beta 2-microglobulin, intravascular mass of albumin, and transcapillary escape rate of albumin were studied in 26 diabetic children without clinical signs of microangiopathy...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF01223619
更新日期:1979-05-01 00:00:00
abstract::Diabetes is an important risk factor for atherosclerosis but the mechanism of the risk is unknown. As endothelial injury is considered to be an early event in the development of atherosclerosis, the effect of glucose on endothelial cell replication was studied. Concentrations of glucose of 11.2, 16.8 and 22.4 mmol/l i...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF00260958
更新日期:1982-11-01 00:00:00
abstract::The insulin receptor substrate proteins IRS1 and IRS2 are key targets of the insulin receptor tyrosine kinase and are required for hormonal control of metabolism. Tissues from insulin-resistant and diabetic humans exhibit defects in IRS-dependent signalling, implicating their dysregulation in the initiation and progre...
journal_title:Diabetologia
pub_type: 杂志文章,评审
doi:10.1007/s00125-012-2644-8
更新日期:2012-10-01 00:00:00
abstract:AIMS/HYPOTHESIS:Hypertension, obesity, impaired glucose tolerance and dyslipidaemia are metabolic abnormalities that often cluster together more often than expected by chance alone. Since these metabolic variables are highly heritable and are at least partially genetically determined, the clustering of defects in these...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-007-0720-2
更新日期:2007-08-01 00:00:00
abstract:AIMS/HYPOTHESIS:Enterovirus (e.g. Coxsackie B virus serotypes [CVBs]) infections may be associated with development of type 1 diabetes. Studies conducted in several European countries have, however, shown an inverse correlation between the incidence of type 1 diabetes and the prevalence of enterovirus infections. These...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-013-2834-z
更新日期:2013-04-01 00:00:00
abstract::Non-obese diabetic mice aged 30 to 60 days were treated orally with Cyclosporin at doses of 25, 15 and 2.5 mg/kg every 2 days until 160 days of age. Diabetes developed in 12 out of 18 oil-treated mice (67%), with partial to complete Langerhans' islet destruction associated with lymphocytic infiltration. The non-obese ...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF00454884
更新日期:1986-04-01 00:00:00
abstract::The involvement of the CNS in pancreatic hormone release has been studied. 1.) It has been shown that one source of vagal efferent fibers capable of facilitating insulin secretion originated in the rostral half of the nucleus ambiguus. 2.) Acute lesions of the ventromedial hypothalamus resulted in hyperinsulinaemia th...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF00254511
更新日期:1981-03-01 00:00:00
abstract::Hyperinsulinaemia and hyperglycaemia are two possible risk factors for colorectal cancer, which constitutes the third leading cause of cancer death in Western countries. Molecular evidence as well as animal models provide support for these associations: Insulin has been shown to be an important growth factor for colon...
journal_title:Diabetologia
pub_type: 杂志文章,评审
doi:10.1007/s00125-003-1109-5
更新日期:2003-05-01 00:00:00
abstract:AIMS/HYPOTHESIS:Few data are available about intakes and food sources of trans-fatty acids (TFAs) or their associations with cardiometabolic outcomes in Asian people who consume a prudent diet but are experiencing rapid nutritional transitions. We aimed to investigate the relationships between TFA biomarkers and type 2...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-012-2674-2
更新日期:2012-11-01 00:00:00
abstract:AIMS/HYPOTHESIS:We had previously reported that stromal cell-derived factor 1 (SDF-1) mediates chemorepulsion of diabetogenic T cell adhesion to islet microvascular endothelium through unknown mechanisms in NOD mice. Here we report that SDF-1-mediated chemorepulsion occurs through slit homologue (SLIT)2-roundabout, axo...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-013-2978-x
更新日期:2013-10-01 00:00:00
abstract:AIMS/HYPOTHESIS:This 52-week multinational, randomised, open-label, parallel-group, non-inferiority trial compared clinical outcomes following supplementation of oral glucose-lowering drugs with basal insulin analogues detemir and glargine in type 2 diabetic patients. METHODS:Insulin-naive adults (n=582, HbA(1c) 7.5-1...
journal_title:Diabetologia
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00125-007-0911-x
更新日期:2008-03-01 00:00:00
abstract::In order to study the contribution of oxidant stress to the pathogenesis of experimental diabetic retinopathy, male streptozotocin diabetic Lewis rats were treated with the antioxidant and lipid-lowering compound nicanartine (80 mg/kg; n = 8, blood glucose level 16.7 +/- 3.9 mmol/l; HbA1 11.8 +/- 1.6%) by oral supplem...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s001250050726
更新日期:1997-06-01 00:00:00
abstract:AIMS/HYPOTHESIS:Cardiovascular events and death are better predicted by postprandial glucose (PPG) than by fasting blood glucose or HbA(1c). While chronic exercise reduces HbA(1c) in patients with type 2 diabetes, short-term exercise improves measures of insulin sensitivity but does not consistently alter responses to ...
journal_title:Diabetologia
pub_type: 临床试验,杂志文章
doi:10.1007/s00125-012-2490-8
更新日期:2012-05-01 00:00:00
abstract:AIMS/HYPOTHESIS:We sought to establish if stem cells contained in cord blood cell allografts have the capacity to differentiate into insulin-expressing beta cells in humans. METHODS:We studied pancreases obtained at autopsy from individuals (n = 11) who had prior opposite-sex cord blood transplants to reconstitute hae...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-011-2071-2
更新日期:2011-05-01 00:00:00
abstract:AIMS/HYPOTHESIS:Insulin resistance is recognised as the core factor in the pathogenesis of Type II (non-insulin-dependent) diabetes mellitus, hypertension and atherosclerosis. Several studies indicate the possible role of mutations of the insulin receptor substrate-1 (IRS-1) gene in the pathogenesis of insulin-resistan...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s001250051628
更新日期:2001-03-01 00:00:00
abstract::Lack of insulin receptors in mice is associated with near-normal intrauterine growth, unlike patients with leprechaunism, in whom growth deficiency is a prominent clinical feature. Genetic crosses of insulin receptor- and insulin-like growth-factor-1 (IGF-1) receptor-deficient mice indicate, however, that insulin rece...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s001250050886
更新日期:1998-02-01 00:00:00
abstract::Epidemiologic data suggest that having a parent with Type 2 (non-insulin-dependent) diabetes mellitus increases the risk for Type 1 (insulin-dependent) diabetes in siblings of a Type 1 diabetes proband. This increase in risk is consistent with a shared genetic susceptibility between Type 1 diabetes and Type 2 diabetes...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF00405008
更新日期:1991-05-01 00:00:00
abstract:AIMS/HYPOTHESIS:White cell count has been shown to predict incident type 2 diabetes, but differential white cell count has received scant attention. We examined the risk of developing diabetes associated with differential white cell count and neutrophil:lymphocyte ratio and the effect of insulin sensitivity and subclin...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-013-3080-0
更新日期:2014-01-01 00:00:00
abstract::Urinary albumin excretion has been assessed in 585 newly-presenting Type 2 (non-insulin-dependent) diabetic patients (aged 53 (8) years, 67% male) at diagnosis with fasting plasma glucose 10.3 (3.2) mmol/l and over 3 years of dietary treatment. Urinary albumin at diagnosis, geometric mean (1 SD interval) corrected for...
journal_title:Diabetologia
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::Alloxan-induced diabetes in rats significantly impaired the capacity of the erythrocytes to metabolise glucose in vitro to either lactic acid or CO2. Both these metabolic activities were initially insensitive to insulin in normal as well as in diabetic animals; but became responsive when these cells were subjected to ...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF00279133
更新日期:1988-01-01 00:00:00
abstract::Non-insulin adjunct therapies in type 1 diabetes have been proposed as a means of improving glycaemic control and reducing risk of hypoglycaemia. Evidence to support this approach is, however, scant and few pharmacological agents have proved effective enough to become part of routine clinical care. Recent short-term P...
journal_title:Diabetologia
pub_type: 杂志文章,评审
doi:10.1007/s00125-018-4671-6
更新日期:2018-10-01 00:00:00
abstract:AIMS/HYPOTHESIS:The study investigated cross-sectional associations of total amount and patterns of sedentary behaviour with glucose metabolism status and the metabolic syndrome. METHODS:We included 2,497 participants (mean age 60.0 ± 8.1 years, 52% men) from The Maastricht Study who were asked to wear an activPAL acc...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s00125-015-3861-8
更新日期:2016-04-01 00:00:00
abstract::The spontaneous hypertensive rat is an animal model characterized by a syndrome of hypertension, insulin resistance and hyperinsulinaemia. To elucidate whether in analogy to other insulin resistant animal models an inactivity of the insulin receptor kinase or an alteration of the glucose transporter (GLUT 4) level in ...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF00429089
更新日期:1992-08-01 00:00:00
abstract::Thiazolidinediones are potent antidiabetic compounds, which act by enhancing peripheral insulin sensitivity. They are also activators of the peroxisome proliferator activated receptor gamma in adipose tissue. Pioglitazone induces in vivo adipocyte differentiation in the obese Zucker fa/fa rat and hence the capacity of...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/s001250051014
更新日期:1998-08-01 00:00:00
abstract::The role of islet amyloidosis in the onset and progression of Type 2 diabetes remains obscure. Islet amyloid polypeptide is a 37 amino-acid, beta-cell peptide which is co-stored and co-released with insulin. Human islet amyloid polypeptide refolds to a beta-conformation and oligomerises to form insoluble fibrils; prol...
journal_title:Diabetologia
pub_type: 杂志文章,评审
doi:10.1007/s00125-003-1304-4
更新日期:2004-02-01 00:00:00
abstract::Using 3H-thymidine labeling techniques, we found that rates of DNA synthesis in islet cells doubled when mouse pancreatic islets were cultured for 1 week with 10 mmol/l nicotinamide, a potent poly(ADP-ribose) synthetase inhibitor. Culture with nicotinamide partially inhibited glucose-stimulated insulin release, wherea...
journal_title:Diabetologia
pub_type: 杂志文章
doi:10.1007/BF02427093
更新日期:1986-03-01 00:00:00