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Microalbuminuria And Glycated Hemoglobin In Children With Type 1 Diabetes Mellitus

Abstract Diabetic nephropathy (DNP) is a microvascular complication that occurs in 20–40% of patients with type 1 diabetes (T1D). The main modifiable DNP initiation and progression factors in susceptible individuals may be sustained hyperglycemia and hypertension. The aim of the present work was to study glycemic control in children with T1D and the risk of microalbuminuria (MA) expressed as the urinary albumin/creatinine ratio (ACR). Subjects and methods Forty children with T1D attending the diabetes clinic at the Alexandria University Children’s Hospital with a duration of diabetes of 3 years or more were included in the study and twenty apparently normal children were taken as controls. Clinical examination and blood pressure measurements were performed for all cases. Urine samples were collected within a 3–6 month period. The ACR in 2 of 3 specimens should be >30 mg/g before considering a patient to have microalbuminuria. HbA1c was measured and the mean of the last 4 readings was calculated. 77.5% of patients had ACR >30 mg/g in two different samples. 88.8% of patients with poor glycemic control had MA compared to 53.8% with accepted glycemic control. The difference was m Continue reading >>

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Popular Questions

  1. lisamom2lucas

    Type 2 in younger people.. (approx 25-35 years old)

    I was just wondering how many here are younger type 2s?
    I am 29 years old and probably had diabetes for 3 years prior to my actual diagnosis.
    How old were you at diagnosis?
    How long have you had it?
    What was your A1C when diagnosed?
    I am getting so sad and discouraged about all the reading I'm doing that most people w/ diabetes don't make it longer than 20+ years. I know there are people who DO but it seems to be the exception and not the rule. If that is the case, am I really going to die before 50?? Really? I find that so hard to accept.
    I'm having a hard time right now and just looking for some insight, thoughts, experiences or SOMETHING.
    I've tried searching for stats and things like that on people diagnosed younger but I'm not coming up with much. I know stats don't mean everything but I'd like to see SOMETHING positive.
    SIGH!

  2. lisamom2lucas

    I wanted to add too I'm not trying to be a debbie downer, I am just feeling depressed right now

  3. KTCwyo

    Originally Posted by lisamom2lucas
    I was just wondering how many here are younger type 2s?
    I am 29 years old and probably had diabetes for 3 years prior to my actual diagnosis.
    How old were you at diagnosis?
    How long have you had it?
    What was your A1C when diagnosed?
    I am getting so sad and discouraged about all the reading I'm doing that most people w/ diabetes don't make it longer than 20+ years. I know there are people who DO but it seems to be the exception and not the rule. If that is the case, am I really going to die before 50?? Really? I find that so hard to accept.
    I'm having a hard time right now and just looking for some insight, thoughts, experiences or SOMETHING.
    I've tried searching for stats and things like that on people diagnosed younger but I'm not coming up with much. I know stats don't mean everything but I'd like to see SOMETHING positive.
    SIGH! Don't accept it. It is wrong. Most people do not die in 20 years, or even more than 20, from diabetes. It runs in my family and my diabetic 80+ year old father and aunt are both alive and mostly complication free. Take medication, keep an active lifestyle, eat healthy; those will usually prevent complications and lead to a long life. Many of us feel diabetes was actually a wake up call and we will live longer healthier lives because of it.

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