Romano Concetta, Tamburella Consuelo, Costa Martino, Messina Marco, Fassari Anna Lisa, Bertini Marco
Medical Department, Laboratori Baldacci SpA, Via San Michele degli Scalzi 73, 56124 Pisa, Italy.
J Med Case Rep. 2014 Dec 19;8:443. doi: 10.1186/1752-1947-8-443.
Microalbuminuria in type 1 diabetes is the earliest manifestation of diabetic microangiopathy (nephropathy). To date, the pharmacological approach to microangiopathy has not been shown to be useful. By using aminaphtone to control nephrologic complications of insulin-dependent diabetes mellitus we first obtained a significant improvement in microalbuminuria confirming this new pharmacological approach for insulin-dependent diabetes mellitus organospecific complications control.
After being treated with standard therapy for insulin-dependent diabetes mellitus (insulin) for more than 20 years, a 49-year-old white man affected by insulin-dependent diabetes mellitus adopted the standard therapy aminaphtone for a period of 2 months.This therapy allowed a significant reduction of proteinuria from baseline evaluation that immediately increased after he stopped aminaphtone therapy.
Aminaphtone therapy, used globally in the treatment and prevention of endothelial dysfunctions, could be an interesting option for patients with insulin-dependent diabetes mellitus with the express purpose of preventing diabetic nephropathy.
1型糖尿病中的微量白蛋白尿是糖尿病微血管病变(肾病)的最早表现。迄今为止,针对微血管病变的药物治疗方法尚未显示出有效。通过使用氨基萘酮来控制胰岛素依赖型糖尿病的肾脏并发症,我们首次在微量白蛋白尿方面取得了显著改善,证实了这种用于控制胰岛素依赖型糖尿病器官特异性并发症的新药理学方法。
一名49岁的患有胰岛素依赖型糖尿病的白人男性,在接受胰岛素依赖型糖尿病的标准治疗(胰岛素)20多年后,采用标准疗法氨基萘酮治疗了2个月。该疗法使蛋白尿从基线评估时显著降低,而在他停止氨基萘酮治疗后立即增加。
氨基萘酮疗法广泛用于治疗和预防内皮功能障碍,对于有预防糖尿病肾病明确目的的胰岛素依赖型糖尿病患者可能是一个有趣的选择。