Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
Autor: | Luiz Eduardo Osowski, Stéfano Blessmann Milano, Jorge Freitas Esteves, Carolina Maurente da Rosa, Caroline K. Kramer, Luis Henrique Santos Canani |
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Rok vydání: | 2009 |
Předmět: |
medicine.medical_specialty
Pediatrics Endocrinology Diabetes and Metabolism Disease duration Case Report Case presentation Hiperglicemia Diabetes mellitus Internal medicine Internal Medicine Medicine lcsh:RC620-627 Letter to the Editor Glycemic Type 1 diabetes Fatores de risco business.industry Complicações do diabetes Systemic blood pressure Retinopatia diabética Diabetic retinopathy medicine.disease lcsh:Nutritional diseases. Deficiency diseases Endocrinology Diabetes mellitus tipo 1 Metabolic control analysis business |
Zdroj: | Diabetology & Metabolic Syndrome Diabetology & Metabolic Syndrome, Vol 1, Iss 1, p 13 (2009) Diabetology and Metabolic Syndrome Repositório Institucional da UFRGS Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
ISSN: | 1758-5996 |
Popis: | The main risk factors for the development and progression of diabetic retinopathy (DR) are chronic hyperglycemia, disease duration and systemic blood pressure. So far chronic hyperglycemia is the strongest evidence concerning the risk of developing DR. However there are some patients with poor metabolic control who never develop this diabetic complication. We present a case of a 73-year-old woman with type 1 diabetes mellitus, diagnosed 69 years ago. The patient is 73 years old, with no evidence of DR, despite poor glycemic control and several risk factors for DR. This case suggests the presence of a possible protection factor, which could be genetic. |
Databáze: | OpenAIRE |
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