Cardio vascular morbidity in proteinuric south Indian NIDDM patients.

Abstract:

:Proteinuria is a well known risk factor for cardiovascular morbidity. There has been no report on cardiovascular morbidity in Indian NIDDM patients with proteinuria. Hence this study has been undertaken to estimate the prevalence of cardiovascular diseases (CVD) in South Indian NIDDM with proteinuria. We studied two groups of NIDDM patients with diabetes for > or = 5 years: group PR with persistent proteinuria of > 500 mg/day (n = 297) and group NPR with normoalbuminuria (albuminuria < or = 30 micrograms/mg creatinine)(n = 296), who reported for review during the study period. They were matched for age, duration of diabetes and BMI. The prevalence of cardiovascular diseases, namely myocardial infarction, the presence of ischaemic heart disease and the history of coronary bypass surgery were compared in the two groups. The prevalence of hypertension was higher among the PR than the NPR patients (56.5 vs 24.7%, chi 2 = 61.3, P < 0.01). CVD were detected in 39.2% (n = 116) of the PR and 13.2% (n = 39) of the NPR groups. (chi 2 = 54.85, P < 0.001). The risk was thus three-fold higher in the PR group. Univariate analysis showed that in the proteinuric group, the prevalence of complications was higher in association with hypertension (45.8% vs 30.2%, chi 2 = 6.82, P = 0.009). Multiple logistic regression analysis showed that the factors associated with CVD were proteinuria (odds ratio 5.03), age (OR 1.08) and BMI (OR 1.07) while sex, age at onset of diabetes, duration of diabetes, hypertension, smoking, HbA1, serum creatinine, cholesterol and triglycerides did not show independent contribution. The study, highlights the high risk conferred by macroproteinuria in Indian NIDDM patients. This risk is found to be independent of the presence of associated hypertension.

authors

Viswanatham V,Snehalatha C,Mathai T,Jayaraman M,Ramachandran A

doi

10.1016/s0168-8227(97)00107-1

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

63-7

issue

1

eissn

0168-8227

issn

1872-8227

pii

S0168822797001071

journal_volume

39

pub_type

杂志文章
  • New diagnosis criteria for diabetes with hemoglobin A1c and risks of macro-vascular complications in an urban Japanese cohort: the Suita study.

    abstract::The association of the new diagnosis criteria for diabetes adopting hemoglobin A1c, recently proposed by the international expert committee, with macro-vascular complications was tested in a 12-year population-based cohort. The present analysis suggested that this new criteria were applicable to macro-vascular complic...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2010.01.019

    authors: Watanabe M,Kokubo Y,Higashiyama A,Ono Y,Okayama A,Okamura T

    更新日期:2010-05-01 00:00:00

  • Dyslipidemia in diabetes mellitus.

    abstract::Patients with diabetes mellitus have a higher rate of mortality than the general population. This higher mortality may be attributed mainly to cardiovascular disease. A high prevalence of dyslipidemia in diabetics can be one of the reasons for this. The most commonly recognized lipid abnormality in non-insulin-depende...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/0168-8227(96)01263-6

    authors: Yoshino G,Hirano T,Kazumi T

    更新日期:1996-06-01 00:00:00

  • Altered circulating mitochondrial DNA and increased inflammation in patients with diabetic retinopathy.

    abstract:AIMS:We previously showed that circulating mitochondrial DNA (MtDNA) levels are altered in diabetic nephropathy. The aim of the current study was to determine if circulating MtDNA levels are altered in patients with diabetic retinopathy. METHODS:Patients with diabetes (n=220) were studied in a clinical setting using a...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2015.10.006

    authors: Malik AN,Parsade CK,Ajaz S,Crosby-Nwaobi R,Gnudi L,Czajka A,Sivaprasad S

    更新日期:2015-12-01 00:00:00

  • Evaluation of a real-time blood glucose monitor in children with diabetic ketoacidosis.

    abstract::Use of a real-time bedside glucose monitor was analyzed during the course of management of diabetic ketoacidosis (DKA) in children. Simultaneous determinations of blood glucose were obtained, using three methods: bedside glucose meter (One Touch II), laboratory glucose analyzer (YSI 2300 STAT), and a real-time bedside...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(99)00033-9

    authors: Coss-Bu JA,Jefferson LS,Stone-McCord S,Ou CN,Watrin C,Sachdeva R,Copeland KC

    更新日期:1999-06-01 00:00:00

  • Insulin autoantibodies in patients with autoimmune diseases.

    abstract::Insulin antibodies (IAA) can be detected in the serum of the majority of newly diagnosed IDDM patients prior to insulin therapy. In first degree relatives of IDDM patients, IAA are associated with an increased risk of development of IDDM. However, the disease specificity of IAA, detected by radiobinding assays, has no...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(92)90006-d

    authors: Harrop M,Caudwell J,Stojanovski C,Colman PG

    更新日期:1992-11-01 00:00:00

  • SUIT, secretory units of islets in transplantation: An index for therapeutic management of islet transplanted patients and its application to type 2 diabetes.

    abstract::Evaluation of a patient's pancreatic beta-cell function is important in both diagnosis and treatment of diabetes. We sought to determine beta-cell function with a single sampling of blood. Examination of fasting blood glucose (F-BG, mM) and C-peptide (F-CPR, nM) levels in seven post-islet-transplanted states of four p...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2006.03.030

    authors: Yamada Y,Fukuda K,Fujimoto S,Hosokawa M,Tsukiyama K,Nagashima K,Fukushima M,Suzuki H,Toyoda K,Sassa M,Funakoshi S,Inagaki N,Taniguchi A,Sato TS,Matsumoto S,Tanaka K,Seino Y

    更新日期:2006-12-01 00:00:00

  • Macro and microvascular complications are determinants of increased infection-related mortality in Brazilian type 2 diabetes mellitus patients.

    abstract:OBJECTIVE:To investigate infection-related mortality and its predictors in Brazilian type 2 diabetic patients. METHODS:It was carried out a long-term prospective study with 471 type 2 diabetic outpatients. Several clinical, laboratory and electrocardiographic variables were recorded at baseline. Predictive factors for...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2006.04.008

    authors: Cardoso CR,Salles GF

    更新日期:2007-01-01 00:00:00

  • Ethnic difference in inter-East Asian subjects with normal glucose tolerance and impaired glucose regulation: a systematic review and meta-analysis focusing on fasting serum insulin.

    abstract:AIMS:To investigate ethnic difference by focusing on fasting serum insulin (FSI) in inter-East Asian subjects with normal glucose tolerance (NGT) and impaired glucose regulation (IGR). METHODS:Data sources included MEDLINE and EMBASE between 2001 and 2007. We conducted a search for articles containing mean or geometri...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.diabres.2008.09.002

    authors: Takeuchi M,Okamoto K,Takagi T,Ishii H

    更新日期:2008-12-01 00:00:00

  • Insulin resistance in Brazilian adolescent girls: association with overweight and metabolic disorders.

    abstract::We assessed the association between insulin resistance, overweight and metabolic disorders in a probabilistic sample of 388, 12-19-year-old girls from public schools in Niterói, Rio de Janeiro State, Brazil. Insulin resistance was determined using Homeostatic Model Assessment-Insulin Resistance (HOMA-IR). Overweight a...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2006.03.018

    authors: Alvarez MM,Vieira AC,Moura AS,da Veiga GV

    更新日期:2006-11-01 00:00:00

  • IGT with fasting hyperglycemia is more strongly associated with microalbuminuria than IGT without fasting hyperglycemia.

    abstract::Previous studies have established that impaired glucose tolerance (IGT) patients with fasting hyperglycemia (IGT/FH: fasting plasma glucose (FPG) level 6.1-7.0 mmol/l and 2 h PG level of 7.8-11.1 mmol/l) exhibit higher insulin resistance than those with isolated IGT (FPG level <6.1 mmol/l and 2 h PG level of 7.8-11.1 ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2003.11.008

    authors: Suzuki H,Fukushima M,Usami M,Ikeda M,Taniguchi A,Nakai Y,Matsuura T,Yasuda K,Hosokawa M,Seino Y,Yamada Y

    更新日期:2004-06-01 00:00:00

  • Prevention of type 2 diabetes: a review.

    abstract::One of the major public health challenges of the 21st century is type 2 diabetes. WHO estimates that by 2025 as many as 200-300 million people worldwide will have developed the disease. A distressing increase in children is perhaps the most alarming sign of something going wrong. Roughly half of the risk of type 2 dia...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/j.diabres.2006.09.020

    authors: Hussain A,Claussen B,Ramachandran A,Williams R

    更新日期:2007-06-01 00:00:00

  • The modulating effects of the overexpression of uncoupling protein 2 on the formation of reactive oxygen species in vascular cells.

    abstract::Uncoupling protein 2 (UCP-2) is a newly identified member of the mitochondrial anion carrier family and shares 60% sequence identity with the well-characterized thermogenic UCP-1 from brown adipose tissue. Several lines of evidence suggest that UCP-2 is involved in the control of reactive oxygen species (ROS) producti...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2007.01.032

    authors: Kim HS,Park KG,Koo TB,Huh S,Lee IK

    更新日期:2007-09-01 00:00:00

  • Ethnicity, race, and clinically significant macular edema in the Veterans Affairs Diabetes Trial (VADT).

    abstract:OBJECTIVE:To determine risk factors in clinically significant macular edema (CSME) and if increased CSME in minorities is due to ethnicity or other factors in the Veterans Affairs Diabetes Trial (VADT). METHODS:CSME prevalence based on 7-field stereo fundus photographs in 1268 patients with type 2 diabetes was related...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2009.08.001

    authors: Emanuele N,Moritz T,Klein R,Davis MD,Glander K,Khanna A,Thottapurathu L,Bahn G,Duckworth W,Abraira C,Veterans Affairs Diabetes Trial Study Group.

    更新日期:2009-11-01 00:00:00

  • The impact of COVID-19 on people with diabetes in Brazil.

    abstract::The present study aims at identifying main barriers faced by people living with diabetes in Brazil during the COVID-19 pandemic. METHODS:In a convenience sampling study, data were collected from 1701 individuals, aged 18 or above; 75.54% female participants; 60.73% T1D and 30.75% T2D, between April 22nd and May 4th, ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2020.108304

    authors: Barone MTU,Harnik SB,de Luca PV,Lima BLS,Wieselberg RJP,Ngongo B,Pedrosa HC,Pimazoni-Netto A,Franco DR,Marinho de Souza MF,Malta DC,Giampaoli V

    更新日期:2020-08-01 00:00:00

  • Short term efficacy of a lifestyle intervention programme on cardiovascular health outcome in overweight Indigenous Australians with and without type 2 diabetes mellitus. The healthy lifestyle programme (HELP).

    abstract::We aim to examine the short-term efficacy of a lifestyle intervention programme on cardiovascular risk factors in overweight urban Indigenous Australians with and without type 2 diabetes mellitus. One hundred and one urban Indigenous Australians in Queensland voluntarily participated in a culturally appropriate lifest...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2006.04.012

    authors: Chan LC,Ware R,Kesting J,Marczak M,Good D,Shaw JT

    更新日期:2007-01-01 00:00:00

  • Severe hypoglycaemia during pregnancy in women with type 1 diabetes: possible role of renin-angiotensin system activity?

    abstract:AIMS:To investigate whether increased risk of severe hypoglycaemia in early pregnancy is related to pregnancy-induced changes in renin-angiotensin system (RAS) activity in women with type 1 diabetes (T1DM). METHODS:Severe hypoglycaemic events the year preceding pregnancy were recorded retrospectively in 107 consecutiv...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2009.01.006

    authors: Nielsen LR,Pedersen-Bjergaard U,Thorsteinsson B,Boomsma F,Damm P,Mathiesen ER

    更新日期:2009-04-01 00:00:00

  • Comparison of neurosensory devices in detecting cutaneous thresholds related to protective sensibility: A cross-sectional study in São Paulo, Brazil.

    abstract:AIMS:To quantify the static and moving cutaneous sensibility threshold of diabetic patients using a neurosensory device for quantitative pressure detection. METHODS:Three hundred thirty-four (n = 334) patients with type 2 diabetes and no previous history of wounds on the feet were studied using the one- and two-point ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2019.107821

    authors: Carvalho VF,Ueda T,Paggiaro AO,Nascimento ARF,Ferreira MC,Gemperli R

    更新日期:2019-11-01 00:00:00

  • Increased serum pigment epithelium-derived factor levels in type 1 diabetic patients with diabetic retinopathy.

    abstract::Serum pigment epithelium-derived factor (PEDF) levels were significantly higher in type 1 diabetic patients with retinopathy (n=20, 10.38+/-3.87 microg/ml) compared to the patients without it (n=57, 7.68+/-2.80 microg/ml) (p=0.0013). Elevated PEDF levels may be related to the progression of diabetic retinopathy. ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2008.03.009

    authors: Katakami N,Kaneto H,Yamasaki Y,Matsuhisa M

    更新日期:2008-07-01 00:00:00

  • High prevalence of COVID-19-associated diabetic ketoacidosis in UK secondary care.

    abstract::We aim to describe the prevalence of diabetic ketoacidosis (DKA) in individuals admitted to a single centre with COVID-19. We identified 218 individuals hospitalised with COVID-19, of these four fulfilled criteria for DKA (4/218, 1.8%). We conclude DKA is common and severe in individuals hospitalised with COVID-19. ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2020.108291

    authors: Goldman N,Fink D,Cai J,Lee YN,Davies Z

    更新日期:2020-08-01 00:00:00

  • Fibre-enriched buckwheat pasta modifies blood glucose response compared to corn pasta in individuals with type 1 diabetes and celiac disease: Acute randomized controlled trial.

    abstract:AIM:People with type 1 diabetes and celiac disease (T1D&CD) have high blood glucose variability. Processed gluten-free foods have shown to induce a worse metabolic profile whereas naturally gluten-free foods may represent healthier options. On the other hand, dietary fibre has shown to reduce postprandial glycemic excu...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2019.02.013

    authors: Vetrani C,Bozzetto L,Giorgini M,Cavagnuolo L,Di Mattia E,Cipriano P,Mangione A,Todisco A,Inghilterra G,Giacco A,Annuzzi G,Rivellese AA

    更新日期:2019-03-01 00:00:00

  • Diabetes prevalence and determinants in adults in China mainland from 2000 to 2010: a systematic review.

    abstract:AIMS:To systematically review trends in diabetes mellitus (DM) prevalence in adults in China over the last 10 years and to identify the determinants of these trends. METHODS:A systematic search was conducted for studies published between 2000 and 2010. Studies reporting DM prevalence were included if they met the pre-...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/j.diabres.2012.05.010

    authors: Li H,Oldenburg B,Chamberlain C,O'Neil A,Xue B,Jolley D,Hall R,Dong Z,Guo Y

    更新日期:2012-11-01 00:00:00

  • The metabolic syndrome in Australia: prevalence using four definitions.

    abstract:OBJECTIVE:To compare the prevalence of the Metabolic Syndrome (MetS) defined by four definitions and to determine which definition best identifies those at high cardiovascular disease (CVD) risk and with insulin resistance. METHODS:AusDiab is a population-based survey of 11,247 Australians. Participants had anthropome...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2007.02.002

    authors: Cameron AJ,Magliano DJ,Zimmet PZ,Welborn T,Shaw JE

    更新日期:2007-09-01 00:00:00

  • Sex differences in diabetes induced by neonatal streptozotocin treatment in spontaneously hypertensive rats.

    abstract::We examined the sex differences in the development of diabetes due to neonatal streptozotocin (STZ) treatment in spontaneously hypertensive rats (SHR) which are more prone to diabetes than normotensive rats. Male and female SHR were intraperitoneally injected with various doses of STZ at 2 days after birth. In those t...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(87)80034-7

    authors: Iwase M,Kikuchi M,Nunoi K,Wakisaka M,Maki Y,Sadoshima S,Fujishima M

    更新日期:1987-11-01 00:00:00

  • Prevalence and severity of diabetic retinopathy in patients attending the endocrinology diabetes clinic at Mulago Hospital in Uganda.

    abstract:AIMS:The epidemiology for diabetic retinopathy (DR) has been well described in the western population. Countries in Sub-Saharan Africa have attempted to identify the prevalence of diabetic eye disease, however, there still remains a degree of paucity across the continent due to inadequacy in health system organisations...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2019.04.024

    authors: Magan T,Pouncey A,Gadhvi K,Katta M,Posner M,Davey C

    更新日期:2019-06-01 00:00:00

  • Longitudinal evaluation of gastric emptying in type 2 diabetes.

    abstract:AIMS:To evaluate the natural history of gastric emptying in type 2 diabetes. METHODS:12 patients with type 2 diabetes (7 female; age 65.6 ± 1.2 years; duration of known diabetes 22.9 ± 1.5 years) were invited to return for repeat measurements of gastric emptying using the same dual-labelled solid and liquid meal, a me...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2019.06.010

    authors: Watson LE,Phillips LK,Wu T,Bound MJ,Jones KL,Horowitz M,Rayner CK

    更新日期:2019-08-01 00:00:00

  • Prevalence of Diabetes, Management and Outcomes among Covid-19 Adult Patients Admitted in a Specialized Tertiary Hospital in Riyadh, Saudi Arabia.

    abstract::This retrospective study aimed to characterize comorbidities and associated with mortality among hospitalized adults with Covid-19 managed as perthe Saudi Ministry of Health protocol in a specialized tertiary hospital in Riyadh, Saudi Arabia. Medical records of 300 adult patients with PCR-confirmed SARS-CoV2 infection...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2020.108538

    authors: Sheshah E,Sabico S,Albakr RM,Sultan AA,Alghamdi KS,Al Madani K,Alotair HA,Al-Daghri NM

    更新日期:2020-11-12 00:00:00

  • The effect of an aldose reductase inhibitor on cardiovascular performance in patients with diabetes mellitus.

    abstract::Because some aldose reductase inhibitor studies have demonstrated clinical improvement in scored neurological signs and symptoms of diabetic neuropathy, a prospective study of the effect on cardiovascular performance of sorbinil 250 mg/day for 12 months was conducted on patients with diabetic autonomic neuropathy who ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(90)90086-9

    authors: Roy TM,Broadstone VL,Peterson HR,Snider HL,Cyrus J,Fell R,Rothchild AH,Samols E,Pfeifer MA

    更新日期:1990-08-01 00:00:00

  • Is DPP4 inhibition a comrade or adversary in COVID-19 infection.

    abstract::Hypertension and Diabetes are the most common comorbid conditions in patients with COVID-19 and has been shown to adversely impact prognosis globally. It has been shown that hyperglycemia is one of the factors that increases the risk of poor outcomes in these patients. These patients are usually on multiple medication...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2020.108216

    authors: Dalan R

    更新日期:2020-06-01 00:00:00

  • Outcome of clinical foot examination in relation to self-perceived health and glycaemic control in a group of urban Tanzanian diabetic patients.

    abstract::Diabetic foot complications were studied in 153 patients at the university clinic in Dar es Salaam (56 insulin treated, 77 treated with oral agents and 20 with diet only). Neuropathy disability and symptoms scores were used to diagnose peripheral neuropathy (PN). Peripheral vascular disease (PVD) was classified as ank...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(97)00072-7

    authors: Wikblad K,Smide B,Bergström A,Kessi J,Mugusi F

    更新日期:1997-09-01 00:00:00

  • Fluid shear stress as a regulator of gene expression in vascular cells: possible correlations with diabetic abnormalities.

    abstract::Diabetes mellitus is associated with increased frequency, severity and more rapid progression of cardiovascular diseases. Metabolic perturbations from hyperglycemia result in disturbed endothelium-dependent relaxation, activation of coagulation pathways, depressed fibrinolysis, and other abnormalities in vascular home...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/s0168-8227(99)00036-4

    authors: Papadaki M,Eskin SG,Ruef J,Runge MS,McIntire LV

    更新日期:1999-09-01 00:00:00