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September 1, 1992Diabetes

Ambulatory Blood Pressure in Type I Diabetes Mellitus: Comparison to Presence of Incipient Nephropathy in Adolescents and Young Adults

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Key result

Type I diabetes patients with elevated albumin excretion rate (>15 µg/min) had higher mean 24-hour systolic and diastolic blood pressure than those with normal AER and healthy controls.

Why the study?

Does ambulatory blood pressure differ in adolescents and young adults with type I diabetes and incipient nephropathy compared to those without nephropathy and healthy controls?

Population

74 adolescents and young adults, comprising 38 with type I diabetes and 36 healthy nondiabetic controls.

Comparison

Ambulatory blood pressure monitoring in patients… vs Type I diabetes patients with AER < 15…

Design

Cross-sectional

Follow-up

24 hours

Authors

WMWayne V. MooreRutgers, The State University of New JerseyDDDavid DonaldsonBotsford HospitalACArnold M. ChonkoUniversity of Kansas Medical Center

Discussion

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Member takes

Implication

May support earlier ambulatory BP monitoring in young type 1 diabetes with elevated AER; leaves open causal links and intervention effects.

Study Design

Type

Observational (n=74)

Structured PICO

Does ambulatory blood pressure differ in adolescents and young adults with type I diabetes and incipient nephropathy compared to those without nephropathy and healthy controls?

P
Population
74 adolescents and young adults (12-25 years old), comprising 38 with type I diabetes and 36 healthy controls, evaluated for ambulatory blood pressure and albumin excretion rate.
E
Exposure
Ambulatory blood pressure monitoring (AMBP) in patients with type I diabetes and elevated albumin excretion rate (AER > 15 micrograms/min).
C
Comparator
Type I diabetes patients with AER < 15 micrograms/min and healthy nondiabetic controls.
O
Outcome
Mean 24-h systolic blood pressure (sBP), diastolic blood pressure (dBP), and blood pressure burden (BPB).surrogate

Adolescents and young adults with type I diabetes and incipient nephropathy exhibit higher ambulatory blood pressure and a blunted nocturnal blood pressure dip compared to those without nephropathy and healthy controls.

Cite This Study

Moore et al. (1992) conducted an observational in Type I Diabetes Mellitus (n=74). Elevated albumin excretion rate (AER > 15 micrograms/min) vs. Type I diabetes with AER < 15 micrograms/min and healthy controls was evaluated on Mean 24-h systolic BP, diastolic BP, and BP burden. Type I diabetes patients with elevated albumin excretion rate (>15 µg/min) had higher mean 24-hour systolic and diastolic blood pressure than those with normal AER and healthy controls.

synapsesocial.com/papers/6a9333fed2de11b4533b73cbhttps://doi.org/10.2337/diab.41.9.1035
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Also Consider

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

  1. 1Recognition of Hypertension and Abnormal Blood Pressure Burden With Ambulatory Blood Pressure Recordings in Type I Diabetes Mellitus1990 · 63 citations
  2. 2Early Changes in 24-Hour Ambulatory Blood Pressure are Associated with High Normal Albumin Excretion Rate in Children with Type 1 Diabetes Mellitus2005 · 16 citations
  3. 3Ambulatory blood pressure monitoring (ABPM) in normotensive adolescents with type 1 diabetes2002 · 9 citations
  4. 4Blood pressure parameters and its association with albuminuria in adolescents with type 1 diabetes mellitus and ABPM using Mobil-O-Graph.2023
  5. 5Blood pressure regulation determined by ambulatory blood pressure profiles in children and adolescents with type 1 diabetes mellitus: Impact on diabetic complications2017 · 34 citations