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http://hdl.handle.net/1843/60757| Type: | Artigo de Periódico |
| Title: | Type 1 diabetes mellitus: can coaching improve health outcomes? |
| Authors: | Tais Pereira Costa Magalhães Rodrigo Bastos Fóscolo Aleida Nazareth Soares Janice Sepúlveda Reis |
| Abstract: | Objective:This study aimed to evaluate the association between different renal biomarkers with D-Dimer levels in diabetes mellitus (DM1) patients group classified as: low D-Dimer levels (< 318 ng/mL), which included first and second D-Dimer tertiles, and high D-Dimer levels (≥ 318 ng/mL), which included third D-Dimer tertile.Materials and methods:D-Dimer and cystatin C were measured by ELISA. Creatinine and urea were determined by enzymatic method. Estimated glomerular filtration rate (eGFR) was calculated using CKD-EPI equation. Albuminuria was assessed by immunoturbidimetry. Presence of renal disease was evaluated using each renal biomarker: creatinine, urea, cystatin C, eGFR and albuminuria. Bivariate logistic regression analysis was performed to assess which renal biomarkers are associated with high D-Dimer levels and odds ratio was calculated. After, multivariate logistic regression analysis was performed to assess which renal biomarkers are associated with high D-Dimer levels (after adjusting for sex and age) and odds ratio was calculated.Results:Cystatin C presented a better association [OR of 9.8 (3.8–25.5)] with high D-Dimer levels than albuminuria, creatinine, eGFR and urea [OR of 5.3 (2.2–12.9), 8.4 (2.5–25.4), 9.1 (2.6–31.4) and 3.5 (1.4–8.4), respectively] after adjusting for sex and age. All biomarkers showed a good association with D-Dimer levels, and consequently, with hypercoagulability status, and cystatin C showed the best association among them. Conclusion Therefore, cystatin C might be useful to detect patients with incipient diabetic kidney disease that present an increased risk of cardiovascular disease, contributing to an early adoption of reno and cardioprotective therapies |
| Subject: | Diabetes Mellitus, Type 1 Healt Self-Management |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.20945/2359-3997000000058 |
| URI: | http://hdl.handle.net/1843/60757 |
| Issue Date: | 2018 |
| metadata.dc.url.externa: | https://www.scielo.br/j/aem/a/W3Cr6pMXfj4g5wf7J7CmSQd/?lang=en |
| metadata.dc.relation.ispartof: | Archives of Endocrinology and Metabolism |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Type 1 diabetes mellitus pdfa.pdf | 301.51 kB | Adobe PDF | View/Open |
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