title: Urinary protein as a marker for systolic blood pressure reduction in patients with type 2 diabetes mellitus participating in an in-hospital diabetes education program.
abstract: Increased blood pressure (BP) and urinary protein (UP)/microalbuminuria are risk factors for cardiovascular disease in patients with diabetes. Although the management of BP in patients with diabetes should involve a multidisciplinary therapy, there are no reports in which modulators have been identified in an in-hospital diabetes education program. The aim of the present study was to investigate the change in BP levels in patients with type 2 diabetes mellitus (T2DM) during a short-term (2-week) in-hospital education program on lifestyle modifications. A total of 167 patients with T2DM (101 men, 66 women; mean age, 61.1 years; glycated hemoglobin, 9.2%) were divided into 2 groups on the basis of their urinary albumin levels: 1 group without UP (urinary albumin level < 30 mg/day) and 1 group with UP (urinary albumin level ≥ 30 mg/day). We defined efficacy in reducing BP as a 20-mm Hg reduction in systolic BP (SBP) and a 10-mm Hg reduction in diastolic BP, and compared the changes between the 2 groups. Although the group with UP had higher SBP levels than the group without UP at baseline, this difference disappeared at the end of the program. Adjusted multivariate logistic regression analysis showed that UP at baseline was associated with a reduction in SBP (odds ratio, 3.361; 95% confidence interval, 1.29-8.79; P = 0.013). The data suggest that UP may be a marker related to the management of SBP through lifestyle modifications in patients with T2DM.
authors: Department of Internal Medicine, Jichi Medical University, Shimotsuke-City, Tochigi, Japan. kokada@jichi.ac.jp
authors: Kenta
authors: K
authors: Okada
authors: Michiaki
authors: M
authors: Miyamoto
authors: Kazuhiko
authors: K
authors: Kotani
authors: Hiroaki
authors: H
authors: Yagyu
authors: Junichi
authors: J
authors: Osuga
authors: Shoichiro
authors: S
authors: Nagasaka
authors: Shun
authors: S
authors: Ishibashi
mesh_terms: D000419:Albuminuria / Q000175:diagnosis*; D015415:Biomarkers / Q000652:urine; D016009:Chi-Square Distribution; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000503:physiopathology / Q000652:urine*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000503:physiopathology / Q000652:urine*; D007297:Inpatients; D008019:Life Style; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D012307:Risk Factors; D013599:Systole; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers