On the Diabetic Nephropathy
(2nd Report) Observation of Urine and Clinical Symptoms of Diabetic Patients.
1960 Volume 6 Issue 6 Pages 482-496
Details
1960 Volume 6 Issue 6 Pages 482-496
640 diabetic cases were observed clinically during 7 years bstween 1951 to 1958, including 21.2% of positive urine analysis. 1) Most positives of analysis revealed patterns of chronic nephritis, and only 11 cases showed more than 6% albuminuria. 2) Cases of positive urine analysis increased in fifth and sixth decades. Males and females were equally affected. 3) Long-term diabetics showed positive urine analysis higher than others in persentages. 4) In the positive urine analysis groups more hypertension and retinitis were noticed. In accordance with diabetic stages there appeared anemia, increase in N.P.N., and change of ST. T. in ECG. Two cases of myocardial infarction were observed. 5) Water test revealed delayed diuresis. P.S.P. and F.F. value lowered in 2/3 cases. TmG value also lowered. Higher renal threshold was Proved. 6) In fatal cases death followed under the condition of uremia, apoplexia cerebri and heart failure.
