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The researchers wanted to look at the distinction between established nephropathy in type I and type 2 diabetes. To this end, they selected 17 type I patients, who were predominantly European, and 29 type 2 patients, all of whom were Polynesian.
They found that kidney function fell much more rapidly in the group with type 2 diabetes, though glycemic control was worse in the Type I group, according to the results of the study which were published in the Aug. 1994 Australia/New Zealand Journal of Medicine.
The results could be read in two ways. Either people with type 2 diabetes progress more quickly to renal failure, or people of Polynesian origin are more prone to renal failure. Either explanation would explain the apparent excess of Polynesians with type 2 diabetes on renal replacement programs in New Zealand.
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