Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation

The main risk factors for the development and progression of diabetic retinopathy (DR) are chronic hyperglycemia, disease duration and systemic blood pressure. So far chronic hyperglycemia is the strongest evidence concerning the risk of developing DR. However there are some patients with poor metab...

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Autores principales: Esteves, Jorge, da Rosa, Carolina Maurente, Kramer, Caroline Kaercher, Osowski, Luiz Eduardo, Milano, Stéfano, Canani, Luís Henrique
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2764562/
https://www.ncbi.nlm.nih.gov/pubmed/19825149
http://dx.doi.org/10.1186/1758-5996-1-13
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author Esteves, Jorge
da Rosa, Carolina Maurente
Kramer, Caroline Kaercher
Osowski, Luiz Eduardo
Milano, Stéfano
Canani, Luís Henrique
author_facet Esteves, Jorge
da Rosa, Carolina Maurente
Kramer, Caroline Kaercher
Osowski, Luiz Eduardo
Milano, Stéfano
Canani, Luís Henrique
author_sort Esteves, Jorge
collection PubMed
description The main risk factors for the development and progression of diabetic retinopathy (DR) are chronic hyperglycemia, disease duration and systemic blood pressure. So far chronic hyperglycemia is the strongest evidence concerning the risk of developing DR. However there are some patients with poor metabolic control who never develop this diabetic complication. We present a case of a 73-year-old woman with type 1 diabetes mellitus, diagnosed 69 years ago. The patient is 73 years old, with no evidence of DR, despite poor glycemic control and several risk factors for DR. This case suggests the presence of a possible protection factor, which could be genetic.
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spelling pubmed-27645622009-10-21 Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation Esteves, Jorge da Rosa, Carolina Maurente Kramer, Caroline Kaercher Osowski, Luiz Eduardo Milano, Stéfano Canani, Luís Henrique Diabetol Metab Syndr Case Report The main risk factors for the development and progression of diabetic retinopathy (DR) are chronic hyperglycemia, disease duration and systemic blood pressure. So far chronic hyperglycemia is the strongest evidence concerning the risk of developing DR. However there are some patients with poor metabolic control who never develop this diabetic complication. We present a case of a 73-year-old woman with type 1 diabetes mellitus, diagnosed 69 years ago. The patient is 73 years old, with no evidence of DR, despite poor glycemic control and several risk factors for DR. This case suggests the presence of a possible protection factor, which could be genetic. BioMed Central 2009-10-05 /pmc/articles/PMC2764562/ /pubmed/19825149 http://dx.doi.org/10.1186/1758-5996-1-13 Text en Copyright © 2009 Esteves et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Esteves, Jorge
da Rosa, Carolina Maurente
Kramer, Caroline Kaercher
Osowski, Luiz Eduardo
Milano, Stéfano
Canani, Luís Henrique
Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
title Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
title_full Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
title_fullStr Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
title_full_unstemmed Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
title_short Absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
title_sort absence of diabetic retinopathy in a patient who has had diabetes mellitus for 69 years, and inadequate glycemic control: case presentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2764562/
https://www.ncbi.nlm.nih.gov/pubmed/19825149
http://dx.doi.org/10.1186/1758-5996-1-13
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