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Perspective
Volume 347:778-779 September 12, 2002 Number 11
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Ambulatory Blood-Pressure Monitoring as a Predictive Tool

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 by Lurbe, E.
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Although some patients with type 1 diabetes mellitus have complications, such as diabetic nephropathy, many do not. Thus, a simple, noninvasive method of identifying those at highest — and lowest — risk for the development of complications would be invaluable.

Certain markers, such as microalbuminuria, which indicates the presence of very early renal disease, offer some promise. Yet if microalbuminuria is present, there is already substantial renal injury, which may prove difficult or impossible to reverse. The level of glycosylated hemoglobin is directly related to the risk of microalbuminuria, as well as other diabetic complications. Maintaining glycosylated hemoglobin at a . . . [Full Text of this Article]


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