The recent studies by the researchers in the Children’s Hospital at Westmead, the University of Sydney and the University of New South Wales in Australia find that type 1 diabetes coupled with blood pressure can add the risk of retinopathy in adolescents. They also indicates other factors like age, duration of diabetes, HbA1c, height and log albumin excretion rate as predictors of retinopathy. It can be both systolic or diastolic blood pressure.
The researchers have come to the decision after a study that includes 1,869 patients with type 1 diabetes. During follow-up, 673 patients developed retinopathy. Baseline age, rate of albumin excretion and prevalence of microalbuminuria did not differ between patients who developed retinopathy and those who did not. Patients with an albumin excretion rate <7.5 mcg/minute (n=1,025) had a higher cumulative risk for retinopathy at 10 years’ duration of diabetes if their systolic BP was on or above the 90th percentile (58%), compared with those below the 90th percentile (35%; P=.03)
At the end of the study, the Professor of Exercise Physiology Department of Exercise and Nutritional Sciences
San Diego State University, Larry S. Verity, PhD, FACM expressed his opinion on the problem. He advised all to be health conscious at the early stage of youth.
In kids, high BP isn’t that common, but as they get older BP tends to go up, and for all diabetics, when they start having elevated BP problems, that creates a huge problem with small vessels like the kidneys, the eyes, etc and larger vessels like the heart, brain, etc. So you really get a lot of vascular problems that, unfortunately, erupt essentially in those unfortunate conditions that are associated with diabetes that render life less quality.
It’s kind of on the edge, in terms of what the researchers came up with, with regards to always having an eye on BP because the eye will ultimately be affected by both systolic and diastolic BP. It is intriguing that they really only looked at very straight forward, clinical measures rather than lifestyle measures. Looking at lifestyle measures could have brought forward a lot of these issues or problems, so that becomes another level of reiteration of this type of study where they look not only at data with HbA1c, but also at dietary patterns, intake patterns and activity patterns.