In:
Biochemistry Research International, Hindawi Limited, Vol. 2012 ( 2012), p. 1-7
Abstract:
Fifty-four type 2 diabetic patients with neuroischemic foot ulcers were randomised to treatment with 5000 IU of dalteparin, ( n = 28 ), or physiological saline, ( n = 26 ), once daily until ulcer healing or for a maximum of 6 months. Thirty-three patients had normo-, 15 micro-, and 6 macroalbuminuria. The urinary levels of IgM and IgG 2 were elevated in 47 and 50 patients, respectively. Elevated urinary levels of IgM and IgG 2 indicate decreased glomerular size selectivity. Urine IgM levels were associated with IGF-1/IGFBP-1 and IGFBP-1 levels. Dalteparin treatment increased urinary levels of glycosaminoglycans ( P 〈 0.001 ) and serum IGFBP-1 ( P 〈 0.05 ) while no significant effects were seen in any of the other studied parameters. In conclusion, dalteparin therapy in patients with type 2 diabetes had no effects on urinary levels of albumin, IgM, or IgG 2 despite significantly increased glycosaminoglycans in urine. Elevated urinary levels of IgM and IgG 2 might be more sensitive markers of renal disease than albuminuria in patients with type 2 diabetes and antihypertensive therapy.
Type of Medium:
Online Resource
ISSN:
2090-2247
,
2090-2255
Language:
English
Publisher:
Hindawi Limited
Publication Date:
2012
detail.hit.zdb_id:
2566725-7
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