Progression to microalbuminuria in patients with type 1 diabetes: a seven-year prospective study
2011

Study on Microalbuminuria in Type 1 Diabetes Patients

Sample size: 122 publication Evidence: moderate

Author Information

Author(s): Cobas Roberta A, Santos BrĂ¡ulio, da Silva Pedro CB, Neves Ricardo, Gomes Marilia B

Primary Institution: State University of Rio de Janeiro

Hypothesis

The study aimed to determine the incidence and evaluate the baseline predictors for the development of microalbuminuria in patients with type 1 diabetes.

Conclusion

Higher BMI and cholesterol/HDL ratio increased the risk of developing microalbuminuria in young patients with type 1 diabetes.

Supporting Evidence

  • 41% of patients developed microalbuminuria over 6.81 years of follow-up.
  • The incidence density was 6.79/100 people per year.
  • Independent factors for microalbuminuria included BMI and cholesterol/HDL ratio.

Takeaway

This study found that being overweight and having high cholesterol can make young people with type 1 diabetes more likely to have kidney problems.

Methodology

A longitudinal cohort study of 122 normoalbuminuric patients with type 1 diabetes was conducted, with regular examinations and analysis of predictors using Cox regression.

Potential Biases

Potential bias due to the exclusion of patients with existing nephropathy and reliance on self-reported family history.

Limitations

Variable follow-up time and difficulty in characterizing ethnicity in the study population.

Participant Demographics

Patients were young adults with type 1 diabetes, primarily normoalbuminuric at baseline.

Statistical Information

P-Value

0.01

Confidence Interval

95% CI 1.03-1.21 for BMI; 95% CI 1.05-1.67 for cholesterol/HDL ratio

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1758-5996-3-21

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