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Serum lipids and urinary albumin excretion in non insulin-dependent diabetics

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Abstract

The increase of urinary albumin excretion has a predictive value for cardiovascular disease in insulin-dependent and non insulin-dependent diabetics. To study the relationship between urinary albumin excretion and serum lipids, 380 non insulin-dependent diabetics, 40 to 75 yr old, with urinary albumin excretion from 0 to 200 mg/l, and normal serum creatinine (less than 150 µmol/1), were surveyed. Urinary albumin excretion, was related positively to age (r2 = 0.014; p = 0.02), to systolic blood pressure (r2 = 0.073, p = 0.0001) and diastolic blood pressure (r2 = 0.052, p = 0.0001); a negative correlation existed with HDL-cholesterol (r2 = 0.043, p = 0.0001) and Apoprotein A1 (r2 = 0.044, p = 0.0001). A stepwise regression analysis was performed and resulted in three independently contributing variables related to urinary albumin excretion: First systolic blood pressure (F = 36), second Apoprotein A1 (F 24), third hemoglobin AlC (F = 6). The presence of hypertension or insulin therapy did not modify these findings. In conclusion, serum lipid seems an important determinant of urinary albumin excretion in non insulin-dependent diabetics.

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Abbreviations

UAE:

Urinary Albumin Excretion

IDDs:

Insulin-Dependent Diabetics

NIDDs:

Non Insulin-Dependent Diabetics

ACE:

Angiotensin-converting-enzyme

HDL:

High Density Lipoproteins

VLDL:

Very Low Density Lipoproteins

LDL:

Low Density Lipoproteins

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Suraniti, S., Bled, F., Girault, A. et al. Serum lipids and urinary albumin excretion in non insulin-dependent diabetics. Mol Cell Biochem 109, 197–200 (1992). https://doi.org/10.1007/BF00229777

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