دورية أكاديمية
Early predictors of diabetic retinopathy in type 1 diabetes: The Retinopathy Champagne Ardenne Diabète (ReCAD) study.
العنوان: | Early predictors of diabetic retinopathy in type 1 diabetes: The Retinopathy Champagne Ardenne Diabète (ReCAD) study. |
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المؤلفون: | Diallo, Alpha Mamadou1 amdiallo@chu-reims.fr, Novella, Jean-Luc2, Lukas, Céline1, Souchon, Pierre-François3, Dramé, Moustapha2, François, Maud1, Decoudier, Bénédicte1, Barraud, Sara1, Salmon, Anne-Sophie3, Ancelle, Déborah1, Arndt, Carl4, Delemer, Brigitte1 |
المصدر: | Journal of Diabetes & its Complications. Aug2018, Vol. 32 Issue 8, p753-758. 6p. |
مستخلص: | |
قاعدة البيانات: | Academic Search Index |
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asx Academic Search Index 130765250 1269 6 Academic Journal academicJournal 1269.0439453125 |
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https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=asx&AN=130765250&custid=s6537998&authtype=sso |
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Array ( [Name] => Author [Label] => Authors [Group] => Au [Data] => <searchLink fieldCode="AR" term="%22Diallo%2C+Alpha+Mamadou%22">Diallo, Alpha Mamadou</searchLink><relatesTo>1</relatesTo><i> amdiallo@chu-reims.fr</i><br /><searchLink fieldCode="AR" term="%22Novella%2C+Jean-Luc%22">Novella, Jean-Luc</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Lukas%2C+Céline%22">Lukas, Céline</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Souchon%2C+Pierre-François%22">Souchon, Pierre-François</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Dramé%2C+Moustapha%22">Dramé, Moustapha</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22François%2C+Maud%22">François, Maud</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Decoudier%2C+Bénédicte%22">Decoudier, Bénédicte</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Barraud%2C+Sara%22">Barraud, Sara</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Salmon%2C+Anne-Sophie%22">Salmon, Anne-Sophie</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Ancelle%2C+Déborah%22">Ancelle, Déborah</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Arndt%2C+Carl%22">Arndt, Carl</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Delemer%2C+Brigitte%22">Delemer, Brigitte</searchLink><relatesTo>1</relatesTo> ) Array ( [Name] => TitleSource [Label] => Source [Group] => Src [Data] => <searchLink fieldCode="JN" term="%22Journal+of+Diabetes+%26+its+Complications%22">Journal of Diabetes & its Complications</searchLink>. Aug2018, Vol. 32 Issue 8, p753-758. 6p. ) Array ( [Name] => Abstract [Label] => Abstract [Group] => Ab [Data] => <bold>Aims: </bold>To determine the relationship between early markers of diabetes control and diabetic retinopathy (DR) in type 1 diabetes.<bold>Methods: </bold>A historic cohort study was conducted on 712 patients from the CARéDIAB database. HbA1c and usual metabolic parameters were measured one year after diagnosis of diabetes. First occurrences of severe hypoglycemia and ketoacidosis during follow-up were selected as time-dependent markers of diabetes control. Data were analyzed in a Cox model using SPSS software to predict DR with significance level at p-value <0.05.<bold>Results: </bold>In multivariate regression, any diabetic retinopathy was predicted by HbA1c (HR = 1.38; CI = 1.25-1.52; p < 0.0001), severe hypoglycemia (HR = 3; CI = 1.99-4.52; p < 0.0001), ketoacidosis (HR = 1.96; CI = 1.17-3.22; p = 0.009), and age at diagnosis (HR = 1.016; CI = 1.002-1.031; p = 0.02). Proliferative DR was predicted by HbA1c (HR = 1.67; CI = 1.51-1.79; p < 0.0001), severe hypoglycemia (HR = 3.67; CI = 2.74-5.25; p < 0.0001), and ketoacidosis (HR = 2.37; CI = 1.56-3.18; p < 0.0001).<bold>Conclusion: </bold>This study shows that the failure to achieve diabetes control after the first year of diagnosis as well as early episodes of acute diabetes complications may contribute to the occurrence of diabetic retinopathy in type 1 diabetes patients. [ABSTRACT FROM AUTHOR] ) |
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