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Progression of retinopathy in insulin-treated type 2 diabetic patients.

Henricsson, Marianne (author)
Lund University,Lunds universitet,Oftalmologi (Malmö),Forskargrupper vid Lunds universitet,Ophthalmology (Malmö),Lund University Research Groups
Berntorp, Kerstin (author)
Lund University,Lunds universitet,Genomik, diabetes och endokrinologi,Forskargrupper vid Lunds universitet,Genomics, Diabetes and Endocrinology,Lund University Research Groups
Fernlund, Per (author)
Lund University,Lunds universitet,Klinisk kemi, Malmö,Forskargrupper vid Lunds universitet,Clinical Chemistry, Malmö,Lund University Research Groups
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Sundkvist, Göran (author)
Lund University,Lunds universitet,Institutionen för kliniska vetenskaper, Malmö,Medicinska fakulteten,Department of Clinical Sciences, Malmö,Faculty of Medicine
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 (creator_code:org_t)
American Diabetes Association, 2002
2002
English.
In: Diabetes Care. - : American Diabetes Association. - 1935-5548 .- 0149-5992. ; 25:2, s. 381-385
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVE—To study the progression of retinopathy 3 years after initiation of insulin therapy. RESEARCH DESIGN AND METHODS—In a prospective, observational case-control study, 42 type 2 diabetic patients were examined at baseline and 1, 3, 6, 12, 24, and 36 months after change to insulin therapy. Retinopathy was graded based on fundus photographs using the Wisconsin scale; HbA1c and IGF-1 were measured. RESULTS—During the observation period of 3 years, 26 patients progressed in the retinopathy scale; 11 patients progressed at least three levels. After 3 years of insulin therapy, HbA1c and IGF-1 were significantly lower than at baseline. Progression of retinopathy greater than or equal to three levels was related to high IGF-1 levels. CONCLUSIONS—A relationship was found between high IGF-1 levels at 3 years and progression of retinopathy in type 2 diabetic patients.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Keyword

Treatment Outcome
Non-U.S. Gov't
Support
Prospective Studies
Middle Age
Non-Insulin-Dependent: physiopathology
Diabetic Retinopathy: physiopathology
Disease Progression
Logistic Models
Insulin: administration & dosage
Hypoglycemic Agents: administration & dosage
Human
Follow-Up Studies
Male
Female
Non-Insulin-Dependent: drug therapy
Diabetes Mellitus
Non-Insulin-Dependent: complications
Aged
Case-Control Studies

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Fernlund, Per
Sundkvist, Göran
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Diabetes Care
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Lund University

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