Microvascular complications in South African patients with long-duration diabetes mellitus
To determine the prevalence of microvascular complications in South African black and Indian patients with long-duration diabetes mellitus (DM). A retrospective analysis was undertaken of clinical records of 219 DM patients (132 black, 87 Indian) with long-duration DM (over 10 years) attending a dia...
Gespeichert in:
| Veröffentlicht in: | South African medical journal 2001-11, Vol.91 (11), p.987-992 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 992 |
|---|---|
| container_issue | 11 |
| container_start_page | 987 |
| container_title | South African medical journal |
| container_volume | 91 |
| creator | MOTALA, Ayesha A PIRIE, Fraser J GOUWS, Eleanor AMOD, Aslam OMAR, Mahomed A. K |
| description | To determine the prevalence of microvascular complications in South African black and Indian patients with long-duration diabetes mellitus (DM).
A retrospective analysis was undertaken of clinical records of 219 DM patients (132 black, 87 Indian) with long-duration DM (over 10 years) attending a diabetes clinic in Durban. Data recorded on each subject included demographic details (age, gender, ethnic group, type of diabetes, age of onset and duration of diabetes), presence of retinopathy, markers of nephropathy and biochemical variables. The prevalence of complications and the clinical and biochemical parameters were evaluated for type 1 and type 2 diabetes and for each ethnic group.
Of the 219 patients, 47 had type 1 DM (36 blacks, 11 Indians) and 172 were classified as type 2 DM (96 blacks, 76 Indians). The mean age of onset of DM was later in blacks than Indians, both for type 1 (P < 0.05) and type 2 DM (P < 0.01). In patients with type 1 DM, the prevalence of retinopathy was 53.2% (blacks 55.6%, Indians 45.5%), persistent proteinuria was found in 23.4% (blacks 25%, Indians 18.2%) and hypertension in 34%. No ethnic difference was found except for the prevalence of hypertension which was higher in blacks than Indians (41.7% v. 9.1%, P < 0.5). Onset of retinopathy from time of diabetes diagnosis occurred earlier in blacks than Indians (13.0 +/- 4.6 yrs v. 18.0 +/- 4.6 yrs, P < 0.05). For the type 2 DM group, retinopathy was found in 64.5% (black v. Indian 68.8 v. 59.2%) and persistent proteinuria in 25% (black v. Indian 30.2 v. 18.4%). Hypertension was observed in 68% and was more prevalent in blacks (84.4 v. 47.4%, P < 0.01) There was an earlier onset of retinopathy (P < 0.05) and hypertension (P < 0.01) from time of diabetes diagnosis in blacks than Indians. In the type 1 DM group retinopathy was associated with a significantly longer duration of diabetes (P < 0.05) and higher glycated haemoglobin (HbA1) (P < 0.05). For type 2 DM subjects there was a significant association between retinopathy and longer duration of diabetes (P < 0.05) and higher systolic blood pressure (P < 0.05).
This study has shown that there is a high prevalence of microvascular complications in South African patients with long-duration diabetes mellitus. |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_71277073</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71277073</sourcerecordid><originalsourceid>FETCH-LOGICAL-p237t-79ca7a1528191cbf1af8fcac44784d90d1d75d6030d2fbc8f6f3e90508847ae53</originalsourceid><addsrcrecordid>eNpFkMlKBDEQhnNQnHH0FSQXvTUknU4nOQ6DG4x4UC9emnQWjaQXsyi-vUFbPBX110dR9R2ANappWwnKmhU4jvENlZ6K9gisMOYNEzVZg-c7p8L0IaPKXgaopmH2TsnkpjFCN8KHKadXuLWhhCOcy8CMKcJPV1I_jS-VzuGHhtrJ3iQT4WC8dynHE3BopY_mdKkb8HR1-bi7qfb317e77b6aa8JSxYSSTGJacyyw6i2WllslVdMw3miBNNaM6hYRpGvbK25bS4xAFPHygzSUbMDF7945TO_ZxNQNLqpyhBzNlGPHcM0YYqSAZwuY-8Hobg5ukOGr-7NRgPMFKD6kt0GOysV_jjSYF6XkG3w-aTs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71277073</pqid></control><display><type>article</type><title>Microvascular complications in South African patients with long-duration diabetes mellitus</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>MOTALA, Ayesha A ; PIRIE, Fraser J ; GOUWS, Eleanor ; AMOD, Aslam ; OMAR, Mahomed A. K</creator><creatorcontrib>MOTALA, Ayesha A ; PIRIE, Fraser J ; GOUWS, Eleanor ; AMOD, Aslam ; OMAR, Mahomed A. K</creatorcontrib><description><![CDATA[To determine the prevalence of microvascular complications in South African black and Indian patients with long-duration diabetes mellitus (DM).
A retrospective analysis was undertaken of clinical records of 219 DM patients (132 black, 87 Indian) with long-duration DM (over 10 years) attending a diabetes clinic in Durban. Data recorded on each subject included demographic details (age, gender, ethnic group, type of diabetes, age of onset and duration of diabetes), presence of retinopathy, markers of nephropathy and biochemical variables. The prevalence of complications and the clinical and biochemical parameters were evaluated for type 1 and type 2 diabetes and for each ethnic group.
Of the 219 patients, 47 had type 1 DM (36 blacks, 11 Indians) and 172 were classified as type 2 DM (96 blacks, 76 Indians). The mean age of onset of DM was later in blacks than Indians, both for type 1 (P < 0.05) and type 2 DM (P < 0.01). In patients with type 1 DM, the prevalence of retinopathy was 53.2% (blacks 55.6%, Indians 45.5%), persistent proteinuria was found in 23.4% (blacks 25%, Indians 18.2%) and hypertension in 34%. No ethnic difference was found except for the prevalence of hypertension which was higher in blacks than Indians (41.7% v. 9.1%, P < 0.5). Onset of retinopathy from time of diabetes diagnosis occurred earlier in blacks than Indians (13.0 +/- 4.6 yrs v. 18.0 +/- 4.6 yrs, P < 0.05). For the type 2 DM group, retinopathy was found in 64.5% (black v. Indian 68.8 v. 59.2%) and persistent proteinuria in 25% (black v. Indian 30.2 v. 18.4%). Hypertension was observed in 68% and was more prevalent in blacks (84.4 v. 47.4%, P < 0.01) There was an earlier onset of retinopathy (P < 0.05) and hypertension (P < 0.01) from time of diabetes diagnosis in blacks than Indians. In the type 1 DM group retinopathy was associated with a significantly longer duration of diabetes (P < 0.05) and higher glycated haemoglobin (HbA1) (P < 0.05). For type 2 DM subjects there was a significant association between retinopathy and longer duration of diabetes (P < 0.05) and higher systolic blood pressure (P < 0.05).
This study has shown that there is a high prevalence of microvascular complications in South African patients with long-duration diabetes mellitus.]]></description><identifier>ISSN: 0256-9574</identifier><identifier>PMID: 11847923</identifier><identifier>CODEN: SAMJAF</identifier><language>eng</language><publisher>Pinelands: Medical Association of South Africa</publisher><subject>Adult ; African Continental Ancestry Group ; Associated diseases and complications ; Biological and medical sciences ; Blood Glucose - analysis ; Blood Pressure - physiology ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - physiopathology ; Diabetes Complications ; Diabetes Mellitus - epidemiology ; Diabetes Mellitus - physiopathology ; Diabetes. Impaired glucose tolerance ; Diabetic Nephropathies - epidemiology ; Diabetic Nephropathies - etiology ; Diabetic Nephropathies - physiopathology ; Diabetic Retinopathy - epidemiology ; Diabetic Retinopathy - etiology ; Diabetic Retinopathy - physiopathology ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Female ; Humans ; India - ethnology ; Male ; Medical sciences ; Microcirculation - physiopathology ; Middle Aged ; Retrospective Studies ; Risk Factors ; South Africa - epidemiology ; Time Factors ; Tropical medicine</subject><ispartof>South African medical journal, 2001-11, Vol.91 (11), p.987-992</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13418256$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11847923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MOTALA, Ayesha A</creatorcontrib><creatorcontrib>PIRIE, Fraser J</creatorcontrib><creatorcontrib>GOUWS, Eleanor</creatorcontrib><creatorcontrib>AMOD, Aslam</creatorcontrib><creatorcontrib>OMAR, Mahomed A. K</creatorcontrib><title>Microvascular complications in South African patients with long-duration diabetes mellitus</title><title>South African medical journal</title><addtitle>S Afr Med J</addtitle><description><![CDATA[To determine the prevalence of microvascular complications in South African black and Indian patients with long-duration diabetes mellitus (DM).
A retrospective analysis was undertaken of clinical records of 219 DM patients (132 black, 87 Indian) with long-duration DM (over 10 years) attending a diabetes clinic in Durban. Data recorded on each subject included demographic details (age, gender, ethnic group, type of diabetes, age of onset and duration of diabetes), presence of retinopathy, markers of nephropathy and biochemical variables. The prevalence of complications and the clinical and biochemical parameters were evaluated for type 1 and type 2 diabetes and for each ethnic group.
Of the 219 patients, 47 had type 1 DM (36 blacks, 11 Indians) and 172 were classified as type 2 DM (96 blacks, 76 Indians). The mean age of onset of DM was later in blacks than Indians, both for type 1 (P < 0.05) and type 2 DM (P < 0.01). In patients with type 1 DM, the prevalence of retinopathy was 53.2% (blacks 55.6%, Indians 45.5%), persistent proteinuria was found in 23.4% (blacks 25%, Indians 18.2%) and hypertension in 34%. No ethnic difference was found except for the prevalence of hypertension which was higher in blacks than Indians (41.7% v. 9.1%, P < 0.5). Onset of retinopathy from time of diabetes diagnosis occurred earlier in blacks than Indians (13.0 +/- 4.6 yrs v. 18.0 +/- 4.6 yrs, P < 0.05). For the type 2 DM group, retinopathy was found in 64.5% (black v. Indian 68.8 v. 59.2%) and persistent proteinuria in 25% (black v. Indian 30.2 v. 18.4%). Hypertension was observed in 68% and was more prevalent in blacks (84.4 v. 47.4%, P < 0.01) There was an earlier onset of retinopathy (P < 0.05) and hypertension (P < 0.01) from time of diabetes diagnosis in blacks than Indians. In the type 1 DM group retinopathy was associated with a significantly longer duration of diabetes (P < 0.05) and higher glycated haemoglobin (HbA1) (P < 0.05). For type 2 DM subjects there was a significant association between retinopathy and longer duration of diabetes (P < 0.05) and higher systolic blood pressure (P < 0.05).
This study has shown that there is a high prevalence of microvascular complications in South African patients with long-duration diabetes mellitus.]]></description><subject>Adult</subject><subject>African Continental Ancestry Group</subject><subject>Associated diseases and complications</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - analysis</subject><subject>Blood Pressure - physiology</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - physiopathology</subject><subject>Diabetes Complications</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Nephropathies - epidemiology</subject><subject>Diabetic Nephropathies - etiology</subject><subject>Diabetic Nephropathies - physiopathology</subject><subject>Diabetic Retinopathy - epidemiology</subject><subject>Diabetic Retinopathy - etiology</subject><subject>Diabetic Retinopathy - physiopathology</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Humans</subject><subject>India - ethnology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microcirculation - physiopathology</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>South Africa - epidemiology</subject><subject>Time Factors</subject><subject>Tropical medicine</subject><issn>0256-9574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMlKBDEQhnNQnHH0FSQXvTUknU4nOQ6DG4x4UC9emnQWjaQXsyi-vUFbPBX110dR9R2ANappWwnKmhU4jvENlZ6K9gisMOYNEzVZg-c7p8L0IaPKXgaopmH2TsnkpjFCN8KHKadXuLWhhCOcy8CMKcJPV1I_jS-VzuGHhtrJ3iQT4WC8dynHE3BopY_mdKkb8HR1-bi7qfb317e77b6aa8JSxYSSTGJacyyw6i2WllslVdMw3miBNNaM6hYRpGvbK25bS4xAFPHygzSUbMDF7945TO_ZxNQNLqpyhBzNlGPHcM0YYqSAZwuY-8Hobg5ukOGr-7NRgPMFKD6kt0GOysV_jjSYF6XkG3w-aTs</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>MOTALA, Ayesha A</creator><creator>PIRIE, Fraser J</creator><creator>GOUWS, Eleanor</creator><creator>AMOD, Aslam</creator><creator>OMAR, Mahomed A. K</creator><general>Medical Association of South Africa</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>Microvascular complications in South African patients with long-duration diabetes mellitus</title><author>MOTALA, Ayesha A ; PIRIE, Fraser J ; GOUWS, Eleanor ; AMOD, Aslam ; OMAR, Mahomed A. K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p237t-79ca7a1528191cbf1af8fcac44784d90d1d75d6030d2fbc8f6f3e90508847ae53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>African Continental Ancestry Group</topic><topic>Associated diseases and complications</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - analysis</topic><topic>Blood Pressure - physiology</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - physiopathology</topic><topic>Diabetes Complications</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diabetes Mellitus - physiopathology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Nephropathies - epidemiology</topic><topic>Diabetic Nephropathies - etiology</topic><topic>Diabetic Nephropathies - physiopathology</topic><topic>Diabetic Retinopathy - epidemiology</topic><topic>Diabetic Retinopathy - etiology</topic><topic>Diabetic Retinopathy - physiopathology</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Humans</topic><topic>India - ethnology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microcirculation - physiopathology</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>South Africa - epidemiology</topic><topic>Time Factors</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MOTALA, Ayesha A</creatorcontrib><creatorcontrib>PIRIE, Fraser J</creatorcontrib><creatorcontrib>GOUWS, Eleanor</creatorcontrib><creatorcontrib>AMOD, Aslam</creatorcontrib><creatorcontrib>OMAR, Mahomed A. K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>South African medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MOTALA, Ayesha A</au><au>PIRIE, Fraser J</au><au>GOUWS, Eleanor</au><au>AMOD, Aslam</au><au>OMAR, Mahomed A. K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microvascular complications in South African patients with long-duration diabetes mellitus</atitle><jtitle>South African medical journal</jtitle><addtitle>S Afr Med J</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>91</volume><issue>11</issue><spage>987</spage><epage>992</epage><pages>987-992</pages><issn>0256-9574</issn><coden>SAMJAF</coden><abstract><![CDATA[To determine the prevalence of microvascular complications in South African black and Indian patients with long-duration diabetes mellitus (DM).
A retrospective analysis was undertaken of clinical records of 219 DM patients (132 black, 87 Indian) with long-duration DM (over 10 years) attending a diabetes clinic in Durban. Data recorded on each subject included demographic details (age, gender, ethnic group, type of diabetes, age of onset and duration of diabetes), presence of retinopathy, markers of nephropathy and biochemical variables. The prevalence of complications and the clinical and biochemical parameters were evaluated for type 1 and type 2 diabetes and for each ethnic group.
Of the 219 patients, 47 had type 1 DM (36 blacks, 11 Indians) and 172 were classified as type 2 DM (96 blacks, 76 Indians). The mean age of onset of DM was later in blacks than Indians, both for type 1 (P < 0.05) and type 2 DM (P < 0.01). In patients with type 1 DM, the prevalence of retinopathy was 53.2% (blacks 55.6%, Indians 45.5%), persistent proteinuria was found in 23.4% (blacks 25%, Indians 18.2%) and hypertension in 34%. No ethnic difference was found except for the prevalence of hypertension which was higher in blacks than Indians (41.7% v. 9.1%, P < 0.5). Onset of retinopathy from time of diabetes diagnosis occurred earlier in blacks than Indians (13.0 +/- 4.6 yrs v. 18.0 +/- 4.6 yrs, P < 0.05). For the type 2 DM group, retinopathy was found in 64.5% (black v. Indian 68.8 v. 59.2%) and persistent proteinuria in 25% (black v. Indian 30.2 v. 18.4%). Hypertension was observed in 68% and was more prevalent in blacks (84.4 v. 47.4%, P < 0.01) There was an earlier onset of retinopathy (P < 0.05) and hypertension (P < 0.01) from time of diabetes diagnosis in blacks than Indians. In the type 1 DM group retinopathy was associated with a significantly longer duration of diabetes (P < 0.05) and higher glycated haemoglobin (HbA1) (P < 0.05). For type 2 DM subjects there was a significant association between retinopathy and longer duration of diabetes (P < 0.05) and higher systolic blood pressure (P < 0.05).
This study has shown that there is a high prevalence of microvascular complications in South African patients with long-duration diabetes mellitus.]]></abstract><cop>Pinelands</cop><pub>Medical Association of South Africa</pub><pmid>11847923</pmid><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0256-9574 |
| ispartof | South African medical journal, 2001-11, Vol.91 (11), p.987-992 |
| issn | 0256-9574 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71277073 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult African Continental Ancestry Group Associated diseases and complications Biological and medical sciences Blood Glucose - analysis Blood Pressure - physiology Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Cardiovascular Diseases - physiopathology Diabetes Complications Diabetes Mellitus - epidemiology Diabetes Mellitus - physiopathology Diabetes. Impaired glucose tolerance Diabetic Nephropathies - epidemiology Diabetic Nephropathies - etiology Diabetic Nephropathies - physiopathology Diabetic Retinopathy - epidemiology Diabetic Retinopathy - etiology Diabetic Retinopathy - physiopathology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Female Humans India - ethnology Male Medical sciences Microcirculation - physiopathology Middle Aged Retrospective Studies Risk Factors South Africa - epidemiology Time Factors Tropical medicine |
| title | Microvascular complications in South African patients with long-duration diabetes mellitus |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T12%3A38%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Microvascular%20complications%20in%20South%20African%20patients%20with%20long-duration%20diabetes%20mellitus&rft.jtitle=South%20African%20medical%20journal&rft.au=MOTALA,%20Ayesha%20A&rft.date=2001-11-01&rft.volume=91&rft.issue=11&rft.spage=987&rft.epage=992&rft.pages=987-992&rft.issn=0256-9574&rft.coden=SAMJAF&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E71277073%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71277073&rft_id=info:pmid/11847923&rfr_iscdi=true |