Early detection of diabetic nephropathy in children and teenagers with type I diabetes

Microalbuminuria (MA) is a noninvasive marker which has to be effected for all the patients in order to watch the appearance of the kidney disease. The aim of this study was the identification of the MA and of its associated factors within a lot of 110 children and teenagers suffering from type 1 di...

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Published inRevista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi Vol. 107; no. 3; p. 556
Main Authors Cosmescu, Adriana, Anisie, Ecaterina, Mătăsaru, Silvia, Felea, Doina, Barbacariu, Liliana, Petroaie, Antoneta, Momanu, Otilia
Format Journal Article
LanguageRomanian
Published Romania 01.07.2003
Subjects
Adolescent
Albuminuria - etiology
Child
Child, Preschool
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - diagnosis
Diabetes Mellitus, Type 1 - epidemiology
Diabetic Nephropathies - complications
Diabetic Nephropathies - diagnosis
Diabetic Nephropathies - epidemiology
Diabetic Nephropathies - etiology
Disease Progression
Early Diagnosis
Female
Humans
Infant
Male
Prevalence
Retrospective Studies
Romania - epidemiology
Romania
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Summary:Microalbuminuria (MA) is a noninvasive marker which has to be effected for all the patients in order to watch the appearance of the kidney disease. The aim of this study was the identification of the MA and of its associated factors within a lot of 110 children and teenagers suffering from type 1 diabetes mellitus. Persistent MA (the incipient diabetic nephropathy) was detected in the case of 10 patients (9%) and the intermittent one at 13 of them (11.8%). In all the cases, a poor glycemic control was associated, the average of the Hb A1c being higher than 10%. The progression of MA was associated with high blood-pressure values in the case of 2 patients and other chronic complications were present at 15 of them. In conclusion, we detected MA in 20.8% of the patients and its prevalence was significantly associated with poor glycemic control.
ISSN:0048-7848