| Prevalence and relationship between diabetic retinopathy and nephropathy, and its risk factors in the North-East of Spain, a population-based study. | |
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MedLine Citation:
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PMID: 20642348 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine the prevalence of microangiopathy, and its risk factors in a population-based study of diabetes mellitus patients in the north-eastern area of Spain. METHODS: A population-based transversal study of 8,187 type 2 (83.37% of the diagnosed patients) and 488 type 1 (85.76% of the diagnosed patients) underwent a detailed medical history that included: diagnoses of diabetic retinopathy, macular edema, microalbuminuria or overt nephropathy. A study of its risk factors, and the relationship between diabetic retinopathy and renal lesion was performed. RESULTS: In type 1 diabetes patients we observed a prevalence of 36.47% of diabetic retinopathy and 5.73% with macular edema; in type 2 diabetes patients the prevalence of diabetic retinopathy was 26.11% and 6.44% with macular edema. Microalbuminuria prevalence was 25.61% in type 1 and 17.78% in type 2 patients, and overt nephropathy prevalence was 8.60% in type 1 and 6.74% in type 2 diabetic patients. The risk factors for diabetic retinopathy were: diabetes duration, high glycosylated level, and arterial hypertension, and insulin treatment in type 2. The Total-cholesterol/High Density-cholesterol (TC/HDL) ratio and triglycerides were significant for diabetic macular edema (DME). Microalbuminuria and overt nephropathy were well correlated to diabetes duration, arterial hypertension and glycosylated haemoglobin. CONCLUSIONS: Prevalence and risk factors for microangiopathy are similar to other studies, and the important finding is that the TC/HDL ratio was significant for DME. Microalbuminuria is a risk factor for diabetic retinopathy in type 1 diabetes mellitus patients but not for type 2. Overt nephropathy is well correlated with diabetic retinopathy. |
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Authors:
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Romero-Aroca Pedro; Sagarra-Alamo Ramon; Baget-Bernaldiz Marc; Fernández-Ballart Juan; Méndez-Marin Isabel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ophthalmic epidemiology Volume: 17 ISSN: 1744-5086 ISO Abbreviation: Ophthalmic Epidemiol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-20 Completed Date: 2010-09-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9435674 Medline TA: Ophthalmic Epidemiol Country: England |
Other Details:
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Languages: eng Pagination: 251-65 Citation Subset: IM |
Affiliation:
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Ophthalmic Service, Hospital Universitario Sant Joan, Universidad Rovira I Virgili, Reus, Spain. promero@grupsagessa.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Albuminuria / epidemiology Child Diabetes Mellitus, Type 1 / epidemiology Diabetes Mellitus, Type 2 / epidemiology Diabetic Nephropathies / epidemiology* Diabetic Retinopathy / epidemiology* Female Humans Macular Edema / epidemiology Male Middle Aged Prevalence Risk Factors Spain / epidemiology Visual Acuity |
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