24-Hour ambulatory blood pressure and renal disease in young subjects with type I diabetes

Garg, Satish K.; Chase, H. Peter; Icaza, Gloria; Rothman, Rachel L.; Osberg, Iris; Carmain, Jon A.

doi:10.1016/s1056-8727(96)00067-0

Cited by 22 publications

(25 citation statements)

References 20 publications

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“…Cohen et al [13] showed higher mean pressure values during day and nighttime in microalbuminuric diabetic adults. In adolescents any elevation of albumin excretion even above the upper limit of normal is associated with higher prevalence of elevated BP levels, and elevation of diastolic BP more than 22% is a greater risk of albuminuria [12]. In our patients 24-h diastolic BP load was above 25% in microalbuminuric patients during sleep and all times.…”

Section: Discussionsupporting

confidence: 38%

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Alterations of blood pressure in type 1 diabetic children and adolescents

et al. 2006

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The aim of this study was to assess the association between metabolic control, microalbuminuria, and diabetic nephropathy with ambulatory blood pressure monitoring (ABPM) in normotensive individuals with type 1 diabetes mellitus (DM). ABPM was undertaken in 68 normotensive type 1 diabetic patients with a mean age of 14.4+/-4.2 years. Microalbuminuria was diagnosed on the basis of a urinary albumin excretion rate grater than 20 microg/min in two of the three 24-h urine collections. Hypertension (HT) frequency was greater in the microalbuminuric patients than normoalbuminuric patients (54 vs 17.54%, p=0.05) with ABPM. Microalbuminuric patients had a higher diastolic pressure burden than normoalbuminuric patients. There were no differences in systolic and diastolic dips between the two groups. Diastolic pressure loads in all periods showed a significant correlation with duration of diabetes, mean HbA1c from the onset of diabetes, and level of microalbuminuria. Nocturnal dipping was reduced in 41.2% of the patients. In the normoalbuminuric group 41.1% and in the microalbuminuric group 63.6% were nondippers. Our data demonstrate higher 24-h and daytime diastolic blood pressure load and loss of nocturnal dip in type 1 diabetic adolescents and children. High diastolic blood pressure burden in diabetic patients could represent a risk for nephropathy.

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Section: Discussionsupporting

confidence: 38%

“…The following factors have been shown to correlate with the development and or progression of diabetic nephropathy: poor glycemic control, hypertension, and borderline elevations of office diastolic blood pressure [12].…”

Section: Discussionmentioning

confidence: 99%

Alterations of blood pressure in type 1 diabetic children and adolescents

et al. 2006

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“…Further investigations are determined by the physical examination and clinical situation. In adults (133,142), and presumably in children and adolescents (143), treatment of blood pressure is also critical in reducing both microvascular and macrovascular complications of diabetes. For these reasons, aggressive efforts at diagnosis and management of hypertension in children and adolescents with diabetes are indicated (143).…”

Section: Hypertensionmentioning

confidence: 99%

Care of Children and Adolescents With Type 1 Diabetes

Klingensmith²,

et al. 2005

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“…122 However, ABPM has not yet been applied successfully to large-scale pharmacological trials in children. Although 2 Food and Drug 127,128 Coarctation of the aorta Rule out masked hypertension [129][130][131] Liver or heart transplant recipient…”

Section: Pharmacological Interventionsmentioning

confidence: 99%