title: [Association of urinary albumin excretion rate and hyperuricemia with macrovascular atherosclerosis in type 2 diabetic patients].
abstract: OBJECTIVE
  To investigate the association of urinary albumin excretion rate (UAER) and hyperuricemia with macrovascular atherosclerosis in type 2 diabetic patients.
  
  
  METHODS
  Ninety-seven type 2 diabetic patients were divided into two groups according to the UAER, namely group A with UAER between 20 and 200 microg/min (n=63) and group B with UAER > or = 200 microg/min (n=34); the patients were also classified into hyperuricemia group (group C, n=59) and normal blood uric acid (BUA) group (group D, n=38). The disease course, BUA, fasting blood glucose (FBG), triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoproteins (HDL), UAER and arteria carotis intima-media thickness (IMT) were determined in these patients. The relationship of UAER and hyperuricemia with carotid arterial IMT was analyzed statistically.
  
  
  RESULTS
  The levels of TG, TC, LDL and HDL showed no significant differences between the 4 groups (P>0.05). The disease course, BUA, UAER, and FBG levels and IMT in groups A and C were significantly higher than those in groups C and D (P<0.05), but no such differences were found between groups A and C or between groups B and D (P>0.05). Arotid arterial IMT was independently correlated to the disease course, BUA and UAER (r=0.201, 0.1999, 0.211, respectively, P<0.05), and a significant positive correlation was noted between BUA and UAER (r=0.221, P<0.05).
  
  
  CONCLUSIONS
  Macrovascular atherosclerosis in type 2 diabetic patients is significantly correlated to the disease course, BUA and UAER levels, which can be used to evaluate and predict macrovascular atherosclerosis in type 2 diabetic patients.
authors.affiliation: Department of Endocrinology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China. jianff@fmmu.edu.cn
authors.forename: Jian-fang
authors.initials: JF
authors.lastname: Fu
authors.forename: Nan-yan
authors.initials: NY
authors.lastname: Zhang
authors.forename: Yan-yang
authors.initials: YY
authors.lastname: Tu
authors.forename: Li
authors.initials: L
authors.lastname: Wang
authors.forename: Bin
authors.initials: B
authors.lastname: Gao
authors.forename: Xiao-ju
authors.initials: XJ
authors.lastname: Ma
authors.forename: Xiao-miao
authors.initials: XM
authors.lastname: Li
authors.forename: Qiu-he
authors.initials: QH
authors.lastname: Ji
mesh_terms: D000328:Adult; D000368:Aged; D000419:Albuminuria / Q000150:complications*; D050197:Atherosclerosis / Q000150:complications* / Q000473:pathology*; D002339:Carotid Arteries / Q000473:pathology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D033461:Hyperuricemia / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies