腹压血压异常及其与儿科1型糖尿病中血糖控制的关系
Anna Stępniewska1, Ewa Szczudlik1, Dorota Drożdż2
1Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Institute of Pediatrics, Faculty of Medicine, Jagiellonian University Medical College, 30-663 Cracow, Poland.
Journal of clinical medicine
|July 12, 2025
概括
儿童1型糖尿病 (T1D) 血糖控制不良与更高的透静血压和更长的疾病持续时间有关. 这突显了管理血糖水平对儿科T1D患者心血管健康的重要性.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 糖尿病中的心血管风险
- 高血压管理 高血压管理
背景情况:
- 儿童的1型糖尿病 (T1D) 增加了心血管风险,通常与血压 (BP) 问题有关.
- 门诊血压监测 (ABPM) 检测到微妙的血压异常,但与血糖控制和T1D持续时间的联系尚不清楚.
研究的目的:
- 调查儿科T1D患者的HbA1c水平,T1D持续时间和ABPM衍生的BP参数之间的关联.
- 在这个人群中确定HbA1c升高的预测因子.
主要方法:
- 357名患有T1D的儿童和青少年 (7-18.8岁) 接受了24小时的ABPM.
- 评估HbA1c,>6.5%被认为是次优的;逻辑回归用于找到HbA1c升高的预测因素.
主要成果:
- 10%的人患有高血压; 41%的人表现出不下降的血压.
- 低于最佳的HbA1c (>6.5%) 与24小时更高的透静血压和高血压的可能性增加相关 (p=0.009).
- 较长的T1D持续时间和更高的24小时腹痛血压独立预测HbA1c升高.
结论:
- 儿科T1D的血糖控制受损独立与24小时扩张性血压升高有关.
- 糖尿病持续时间较长也独立地与T1D儿童的血糖控制较差有关.
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