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تقييم البيلة الألبومينية الزهيدة و علاقتها مع ضغط الدم و ضبط السكر لدى مرضى السكري النمط الثاني
Other Title(s)
Assessment of micro-albuminuria and its association with blood pressure and glycemic control in type 2 diabetic patients
Joint Authors
القبيلي، فايزة
عواد، ديما
الصباغ، عدنان
Source
Issue
Vol. 7, Issue 3-4 (31 Jul. 2014), pp.9-22, 14 p.
Publisher
Syrian Clinical Laboratory Association
Publication Date
2014-07-31
Country of Publication
Syria
No. of Pages
14
Main Subjects
Topics
- Cardiovascular system
- Heart
- Blood-vessels
- Veins
- Arteries
- Urinary system
- Kidneys
- Insulin
- Diseases
- Diabetes
- Blood
- Blood pressure
- Diagnosis
- Blood circulation
Abstract EN
Glomerular nephropathy is one of the most common and serious long-term complications of diabetes, and early identification of renal disease is considered essential for diabetes care.
So this research aimed to assess the micro-albuminuria in the diagnosis of diabetic nephropathy in type II diabetic patients, by measuring the urinary albumin creatinine ratio (ACR) and estimated creatinine clearance rate (eCcr) and determine its correlation with glycemic control and blood pressure.
This study included 118 type 2 diabetic patients and 25 apparently healthy subjects (controls).
Urinary levels of albumin and creatinine, serum levels of creatinine, fasting glucose and glycated hemoglobin were measured.
Both the systolic and diastolic pressure were measured.
The albumin: creatinine ratio (mg/g) and eCcr (ml/min) according to Cockroft-Gault formula-were calculated.
Depending on urinary albumin excretion, the patients were divided into two groups: normo-albuminuric diabetic patients (group A: 79 patients) and micro-albuminuric diabetic (group B: 39 patients).
The mean ± standard error of urinary A: C ratio levels were: 5.5±0.88 mg/g in controls, 8.1±1 mg/g in normo-albuminuric group and 83.9±8.1 mg/g in micro-albuminuric group.
The mean ± standard error of HbA1c levels were: 6.2±0.11% in controls, 8.2±0.2% in normo-albuminuric and 8.8±0.4% in micro-albuminuric group.
The mean ± standard error of systolic blood pressure values were: 11.7±0.16 mmHg in controls, 13.4±0.18 mmHg in normo-albuminuric group and 14.1±0.39 mmHg in micro-albuminuric group.
Decreased eCcr values 90 ml/min were found in 25% and 31% of normo-albuminuric and micro-albuminuric groups, respectively.
Urinary A: C ratio levels showed significant positive correlation with HbA1c levels (r=0.33, p<0.0001) and significant positive correlation with systolic blood pressure values (r=0.2, p<0.0001) in micro-albuminuric diabetic patients.
As a conclusion, low values of estimated creatinine clearance rate do not always associate with increased urinary albumin excretion.
So eCcr should be always measured to evaluate the renal dysfunction in normo-albuminuric type 2 diabetic patients, with consideration of systolic blood pressure value and glycemia control degree.
American Psychological Association (APA)
عواد، ديما والصباغ، عدنان والقبيلي، فايزة. 2014. تقييم البيلة الألبومينية الزهيدة و علاقتها مع ضغط الدم و ضبط السكر لدى مرضى السكري النمط الثاني. مجلة التشخيص المخبري،مج. 7، ع. 3-4، ص ص. 9-22.
https://search.emarefa.net/detail/BIM-667972
Modern Language Association (MLA)
عواد، ديما....[و آخرون]. تقييم البيلة الألبومينية الزهيدة و علاقتها مع ضغط الدم و ضبط السكر لدى مرضى السكري النمط الثاني. مجلة التشخيص المخبري مج. 7، ع. 3-4 (تموز 2014)، ص ص. 9-22.
https://search.emarefa.net/detail/BIM-667972
American Medical Association (AMA)
عواد، ديما والصباغ، عدنان والقبيلي، فايزة. تقييم البيلة الألبومينية الزهيدة و علاقتها مع ضغط الدم و ضبط السكر لدى مرضى السكري النمط الثاني. مجلة التشخيص المخبري. 2014. مج. 7، ع. 3-4، ص ص. 9-22.
https://search.emarefa.net/detail/BIM-667972
Data Type
Journal Articles
Language
Arabic
Notes
يتضمن مراجع ببليوجرافية : ص. 20-22
Record ID
BIM-667972