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    Microalbuminuria in patients with non-insulin-dependent diabetes mellitus relates to nocturnal systolic blood pressure.

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    Authors
    Mitchell, T H
    Nolan, B
    Henry, M
    Cronin, C
    Baker, H
    Greely, G
    Affiliation
    Department of Medicine and Biochemistry, Cork University Hospital, Wilton,, Ireland.
    Issue Date
    2012-02-03T15:15:04Z
    MeSH
    Adult
    Aged
    Albuminuria/etiology/*physiopathology
    *Blood Pressure
    Case-Control Studies
    *Circadian Rhythm
    Cross-Sectional Studies
    Diabetes Mellitus, Type 2/complications/*physiopathology
    Female
    Humans
    Male
    Middle Aged
    Regression Analysis
    Systole
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    Citation
    Am J Med. 1997 Jun;102(6):531-5.
    Journal
    The American journal of medicine
    URI
    http://hdl.handle.net/10147/209206
    PubMed ID
    9217667
    Abstract
    PURPOSE: Microalbuminuria predicts early mortality in non-insulin-dependent-diabetes mellitus patients (NIDDM). Our objective in the present study was to compare and assess the relationship between 24-hour, day and nocturnal ambulatory blood pressure (BP) and urinary albumin excretion rate (UAE) in microalbuminuric and normoalbuminuric NIDDM and in normal control subjects. PATIENTS AND METHODS: In the present cross-sectional study, 24 hour ambulatory BP (daytime BP and nocturnal BP) and HbA1c were compared in microalbuminuric (n = 10) and nonmicroalbuminuric NIDDM patients (n = 10) and in nondiabetic controls (n = 9). None of the patients were taking antihypertensive agents. RESULTS: In the microlbuminuric group, whereas 24 hour and daytime systolic BP differed significantly from control values (P < 0.025 and P < 0.05 respectively), there was no difference between diabetic groups. However, nocturnal systolic BP in the microalbuminuric group was significantly higher than in the normoalbuminuric diabetic patients (139 vs. 125) (P < 0.05) and a significant difference was also found between the NIDDM patients and the control group (139, 125 vs. 114) (P < 0.025). In multiple regression analysis, only nocturnal systolic BP showed a significant relationship with UAE (P < 0.05). CONCLUSIONS: We suggest that the higher nocturnal systolic blood pressure seen in our microalbuminuric NIDDM patients may contribute to the increased morbidity in this group.
    Language
    eng
    ISSN
    0002-9343 (Print)
    0002-9343 (Linking)
    Collections
    Cork University Hospital

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