Details

Autor(en) / Beteiligte

• Huang, Chi-Yu
• Ting, Wei-Hsin
• Lo, Fu-Sung
• Tsai, Jeng-Daw
• Sun, Fang-Ju
• Chan, Chon-In
• Chiang, Ya-Ting
• Lin, Chao-Hsu
• Cheng, Bi-Wen
• Wu, Yi-Lei
• Hung, Chen-Mei
• Lee, Yann-Jinn

Titel

Factors associated with diabetic nephropathy in children, adolescents, and adults with type 1 diabetes

Ist Teil von

• Journal of the Formosan Medical Association, 2017-12, Vol.116 (12), p.924-932

Ort / Verlag

Singapore: Elsevier B.V

Erscheinungsjahr

2017

Link zum Volltext

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Microalbuminuria and macroalbuminuria are markers of diabetic nephropathy (DN). The purpose of this study was to unravel the risk factors for DN in the young patients with type 1 diabetes (T1D). 341 patients (160 males) with T1D diagnosed at the age 7.6 ± 4.0 years with disease duration 11.5 ± 6.5 years were assessed. Among them, 185 were young adults (aged 18.0–36.2 years). Urinary albumin creatinine ratio (UACR) was checked on morning spot urine. Microalbuminuria and macroalbuminuria were defined as a UACR of 30–300 mg/g and >300 mg/g, respectively, in at least 2 consecutive specimens. 50 (14.7%) patients were classified as microalbuminuria and 13 (3.8%) as macroalbuminuria. In all patients, multivariate logistic regression revealed that the most significant risk factors were average HbA1c (%), OR (95% CI) = 1.76 (1.37–2.25), P = 0.002); and male sex, OR = (odd ratio 2.31 (1.19–4.46), P = 0.013). In adult patients, the most significant factors were average HbA1c, OR = 1.74 (1.32–2.31), P = 0.003; and systolic blood pressure, OR = 1.06 (1.01–1.11), P = 0.011. Survival analysis showed average HbA1c levels significantly influenced the development of DN. The most important risk factors for DN were average HbA1c and age. When microalbuminuria is detected, proper treatment with ACEIs or ARBs and improving glycemic control can delay progression of DN.