Radionuclear determination of glomerular filtration rate and renal plasma flow to detect early decrease of renal function in insulin dependent diabetes.

C Cascone, G Beltramello, N Borsato, F Cavallin, P Calzavara, M De Luca, F Susanna, D Madia, P Zanco, B Saitta
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Abstract

To evaluate the role of renal haemodynamic factors in the pathophysiology of diabetic nephropathy, we determined by radionuclear techniques glomerular filtration rate (GFR) and renal plasma flow (RPF) in 18 patients affected by insulin dependent diabetes mellitus (IDDM) in good metabolic control, with normal blood pressure and plasma creatinine. GFR and RPF measured in the same patients after ten months correlated with proteinuria and duration of diabetes. Our finding of a significant correlation between the decline of RPF and duration of diabetes may support the haemodynamic hypothesis of progression of diabetic nephropathy.

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放射性核测定肾小球滤过率和肾血浆流量早期检测胰岛素依赖型糖尿病肾功能下降。
为了探讨肾血流动力学因素在糖尿病肾病病理生理中的作用,我们对18例代谢控制良好、血压和血浆肌酐正常的胰岛素依赖型糖尿病(IDDM)患者进行了肾小球滤过率(GFR)和肾血浆流量(RPF)的测定。10个月后测量的GFR和RPF与蛋白尿和糖尿病病程相关。我们发现RPF的下降与糖尿病病程之间存在显著的相关性,这可能支持糖尿病肾病进展的血流动力学假说。
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