Echocardiographic changes in insulin dependent diabetic children in relation to albumin excretion

Diabetic nephropathy is a relatively common microvascular complication of both IDDM and NIDDM it is clinically defiled by the presence of persistent proteinuria in patients with diabetes with concomittent retinopathy and/ or elevated blood pressure but without urinary tract infection, other renal disease or heart failure (Remuzzi et al 1990). Abnormalities in cardiac functions are known to occura in absence of clinical manifestation of coronary heart disease in insulin dependant diabetes mellitus IDDM (Gotzsche et al 1991.