Document Detail


High-normal blood pressure and early diabetic nephropathy.
MedLine Citation:
PMID:  2310283     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationship between high-normal blood pressure (BP) levels and early diabetic nephropathy is currently unknown. Blood pressure levels were checked longitudinally for a mean of 6.6 years in 230 subjects to determine their relationship to early diabetic nephropathy as monitored by microalbuminuria. High-normal BP level correlated with the presence of microalbuminuria. Microalbuminuria was 2.8 times as common in subjects with high-normal BP levels compared with those subjects with BP levels below the 90th percentile for their age. The elevated microalbumin excretion was primarily associated with high-normal diastolic BP levels. Our data suggest that either microalbuminuria or high-normal BP levels can precede the other. In a logistics model, diastolic BP and mean HbA1 (over 6.6 years) entered the model at similar levels, followed by duration of diabetes. When the influence of mean HbA1 was removed using logistic regression, the diastolic BP level remained a significant associated factor for the presence of microalbuminuria.
Authors:
H P Chase; S K Garg; S Harris; S L Hoops; G Marshall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of internal medicine     Volume:  150     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-04-06     Completed Date:  1990-04-06     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  639-41     Citation Subset:  AIM; IM    
Affiliation:
Barbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado Health Science Center, Denver 80262.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Albuminuria / diagnosis,  physiopathology*
Blood Pressure*
Diabetic Nephropathies / diagnosis,  physiopathology*
Female
Humans
Logistic Models
Male
Reference Values
Time Factors
Grant Support
ID/Acronym/Agency:
RR69/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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