Impaired autoregulation of the retinal vasculature and microalbuminuria in diabetes mellitus View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

1990-01

AUTHORS

Lumina P Lanigan, Charles V Clark, Jaffar Allawi, David W Hill, Harry Keen

ABSTRACT

The relationship between microalbuminuria and retinal vessel responses to sustained handgrip contraction was studied in a group of 20 diabetic patients. The diabetics were divided into two groups based on their albumin excretion rates (AER): Group 1 (AER≤10 mcg/min) consisted of ten diabetic patients, mean age 55.8 ± 3.9 years (mean±SEM); five IDDM and five NIDDM. Group 2 (AER>10 mcg/min) comprised ten diabetic patients: mean age 56.8 ± 3.04 years; six IDDM and four NIDDM. Both groups were similar in that there were no significant differences between mean age, type of diabetes, mean duration of diabetes, glycaemic control or mean resting blood pressures. Group 2 diabetics had a higher incidence of autonomic dysfunction than Group 1, based on the results of four standard tests of autonomic nerve function. There were significantly decreased retinal vessel responses to sustained handgrip contraction in Group 2 diabetics (mean arteriolar constriction 0.1 ± 0.32%, and mean venule constriction 1.0% ± 0.99%) compared with Group 1 diabetics (mean arteriolar constriction 6.9 ± 1.69%, and mean venule constriction 4.2 ± 0.05%). Retinopathy was slightly worse in Group 2.The implications of the association of microalbuminuria (AER>10 mcg/min) and loss of retinal vessel reactivity to sustained handgrip contraction are discussed. More... »

PAGES

174-180

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/eye.1990.23

DOI

http://dx.doi.org/10.1038/eye.1990.23

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002550823

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/2323468


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