胰岛素依赖性糖尿病(IDDM)蛋白尿患者的死亡率明显增高。主要是死于尿毒症和心血管疾病,无蛋白尿者的寿命接近正常人。但非胰岛素依赖性糖尿病(NIDDM)蛋白尿对死亡率的影响尚无报道。作者通过对美国阿利桑那州Gila河印第安地区Pima印第安人的研究。探讨了蛋白尿、高血压及蛋白尿合并高血压对NIDDM死亡率的影响。 Pima印第安人每两年进行一次包括口服糖耐量的全面体检,且人群中的NIDDM发病率高,因此作者选他们作为研究对象。糖尿病诊断按WHO Mortality in patients with insulin-dependent diabetes mellitus (IDDM) proteinuria is significantly increased. Mainly died of uremia and cardiovascular disease, proteinuria life expectancy close to normal. However, the impact of non-insulin-dependent diabetes mellitus (NIDDM) on the mortality rate has not been reported. The author passed the study of Pima Indians in the Gila River Indiana region of the United States of Arizona. The effects of proteinuria, hypertension and proteinuria combined with hypertension on the mortality of NIDDM were investigated. The Pima Indians conducted a comprehensive physical examination, including oral glucose tolerance, every two years and had a high prevalence of NIDDM among the population, so the authors selected them as subjects. Diabetes diagnosis by WHO