The effect of metabolic and hormonal parameters on microalbuminuria in adolescents with type 1 diabetes mellitus
| Autor: | Svetlana Buljugic, Dragana Bogicevic, Milos Jesic, Svjetlana Maglajlić, Maja Jesic, Silvija Sajic |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Adolescent microalbuminuria lcsh:Medicine Body Mass Index chemistry.chemical_compound Insulin resistance Dehydroepiandrosterone sulfate Risk Factors Internal medicine Diabetes mellitus medicine Prevalence Albuminuria Humans Hypoglycemic Agents Insulin Diabetic Nephropathies adolescents Morning Glycated Hemoglobin Type 1 diabetes business.industry Dehydroepiandrosterone Sulfate Puberty lcsh:R Blood Pressure Determination General Medicine medicine.disease Endocrinology Blood pressure Diabetes Mellitus Type 1 chemistry Creatinine Microalbuminuria Female business Body mass index Biomarkers type 1 diabetes mellitus |
| Zdroj: | Srpski Arhiv za Celokupno Lekarstvo, Vol 141, Iss 5-6, Pp 315-319 (2013) |
| ISSN: | 0370-8179 |
| Popis: | Introduction. The prevalence of microalbuminuria (MA), the most important early marker of incipient nephropathy in patients with type 1 diabetes mellitus (T1DM), increases during puberty, the period of exaggerated physiological insulin resistance. Objective. To assess the prevalence of MA and the relationship between MA and metabolic risk factors and pubertal hormones in adolescents with T1DM. Methods. In a cross-section study involving a group of 100 adolescents of both sexes of mean age 14.90±2.18 years and with mean duration of T1DM 5.99±3.64 years, we assessed the presence of MA. In all patients, we determined albumin-to-creatinine ratio (ACR) in two or three morning first-void urine samples in the period up to 6 months. Persistent MA was confirmed in the patients with the finding of ACR rating 2.5-25 mg/mmol in males and 3.5-25 mg/mmol in females in two out of three first morning urine samples. Results. MA developed in 16 (16.0%) patients. Predictors of MA determined by using multiple logistic regression were high HbA1c (OR 4.6; 95% CI 2.1-10.0), higher night-time SBP (OR 1.9; 95% CI 0.8-1.3) and higher insulin dose (OR 62.6; 95% CI 2.3-1678.5). Markers of insulin resistance such as higher body mass index (BMI) which was statistically significantly related to MA (ρ= 0.241, p |
| Databáze: | OpenAIRE |
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