Mortality and Morbidity in Treated Hypertensive Type 2 Diabetic Patients with Micro‐ or Macroproteinuria
1995; Wiley; Volume: 12; Issue: 10 Linguagem: Inglês
10.1111/j.1464-5491.1995.tb00392.x
ISSN1464-5491
AutoresP. T. Sawicki, Ingrid Mühlhauser, Ulrike Didjurgeit, M. Reimann, Ralf Bender, Michael Berger,
Tópico(s)Diabetes Treatment and Management
ResumoIn order to describe the natural history of high risk diabetic patients treated for hypertension we have followed a sequential sample of 100 hypertensive Type 2 diabetic patients with elevated urinary protein excretion (≥60 mg 24 h −1 ) for a period of 1–7 years. Antihypertensive treatment was instituted in all patients and, in addition, the patients were offered the possibility of participation in an intensified antihypertensive therapy programme. After a mean follow‐up of 4 years overall mortality was 13 %. Nineteen percent of all patients experienced a cardiovascular event and 7 % a cerebrovascular event. In conclusion, in this study the overall mortality was lower that previously reported in proteinuric Type 2 diabetic patients. Antihypertensive treatment may account for this outcome.
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