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January 1, 2005Journal of Pediatric Endocrinology and Metabolism

Early Changes in 24-Hour Ambulatory Blood Pressure are Associated with High Normal Albumin Excretion Rate in Children with Type 1 Diabetes Mellitus

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Key result

High normal albumin excretion rate (7-20 µg/min) in children with type 1 diabetes was associated with higher daytime systolic blood pressure compared to low normal AER (118.2 vs 108.8 mm Hg, P=0.02).

Why the study?

Is high normal albumin excretion rate associated with elevated ambulatory blood pressure in children with type 1 diabetes mellitus?

Population

78 children with type 1 diabetes mellitus and normoalbuminuria, mean age 13.4 +/- 2.7 years, mean DM1…

Comparison

High normal albumin excretion rate vs Low normal albumin excretion rate

Design

Cross-sectional

Authors

PGPatricia GallegoHospital Universitario Son EspasesAGA.J. GilbeyMGM.T. Grant

Discussion

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Implication

May prompt earlier ambulatory BP monitoring in pediatric T1D; hypothesis-generating and requires longitudinal validation before practice change.

Study Design

Type

Observational (n=78)

Structured PICO

Is high normal albumin excretion rate associated with elevated ambulatory blood pressure in children with type 1 diabetes mellitus?

P
Population
78 children with type 1 diabetes mellitus and normoalbuminuria, aged 7.3 to 18.3 years, underwent 24-hour ambulatory blood pressure assessment.
E
Exposure
High normal albumin excretion rate (AER 7-20 microg/min)
C
Comparator
Low normal albumin excretion rate (AER <= 7 microg/min)
O
Outcome
Systolic and diastolic blood pressure during daytime and night-time measured by 24-hour ambulatory BP assessmentsurrogate

Main Result

Absolute Event Rate: 118.2% vs 108.76%

p-value: p=0.02

In children with type 1 diabetes, an albumin excretion rate in the high normal range is associated with elevated systolic and diastolic ambulatory blood pressure.

Cite This Study

Gallego et al. (2005) conducted an observational in Type 1 diabetes mellitus with normoalbuminuria (n=78). High normal albumin excretion rate (7-20 microg/min) vs. Low normal albumin excretion rate (<= 7 microg/min) was evaluated on Daytime systolic blood pressure (p=0.02). High normal albumin excretion rate (7-20 µg/min) in children with type 1 diabetes was associated with higher daytime systolic blood pressure compared to low normal AER (118.2 vs 108.8 mm Hg, P=0.02).

synapsesocial.com/papers/6a915fcd90ff22de3cb3a446https://doi.org/10.1515/jpem.2005.18.9.879
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Early Disturbances of Ambulatory Blood Pressure Load in Normotensive Type I Diabetic Patients With Microalbuminuria1992 · 65 citations
  2. 2Blood Pressure Does Not Rise Before the Onset of Microalbuminuria in Children Followed From Diagnosis of Type 1 Diabetes2001 · 59 citations
  3. 3Non‐dipping circadian blood pressure and renal impairment are associated with increased mortality in diabetes mellitus2000 · 173 citations
  4. 4Risk of nephropathy can be detected before the onset of microalbuminuria during the early years after diagnosis of type 1 diabetes.2000 · 88 citations
  5. 5Risk Factors for Coronary Heart Disease in Type 1 Diabetic Patients in Europe2004 · 254 citations