The Treatment of Hypertension in Adult Patients With Diabetes

Arauz-Pacheco, Carlos; Parrott, Marian; Raskin, Philip

doi:10.2337/diacare.25.1.134

Cited by 351 publications

(306 citation statements)

References 123 publications

(52 reference statements)

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“…In fact, hyperlipidaemia (high LDL-C, TC) is known to increase the risk for macrovascular diseases such as arterial hypertension [28]. It is believed to hasten the process of artheriosclerosis especially in the presence of hypertension and diabetes mellitus [29] since patients with hypertension and diabetes mellitus have a higher risk of developing coronary artery disease (CAD) [30]. The high TC, LDL-C, TAG levels and low HDL-C levels recorded for subjects with hypertension as a complication compared to those without complications was similar to trends reported previously [14].…”

Section: Discussionmentioning

confidence: 99%

Dyslipidaemia Associated with Type 2 Diabetics with Micro and Macrovascular Complications among Ghanaians

et al. 2011

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In this study, differences in lipid levels amongst diabetics with and without complications were assessed to determine lipid disorders that are associated with diabetic complications other than cardiovascular diseases. A Cross sectional study design was employed. The study included 288 diabetics and 108 non diabetics with different types of complications such as hypertension, nephropathy, neuropathy, and retinopathy. The mean serum total cholesterol was higher in patients with complications compared to those without complications and the non-diabetic controls. The normotensive diabetic patients had the lowest total cholesterol among the diabetic patients' groups (4.65 ± 0.17 mmol/l) compared to the diabetics with hypertension (6.051 ± 0.20 mmol/l), retinopathy (6.26 ± 0.29 mmol/l), neuropathy (5.80 ± 0.17 mmol/l) and nephropathy patients 5.74 ± 0.26 mmol/l (P \ 0.05). The prevalence of dyslipidaemia among diabetic subjects was between 19.2 and 84.0%. The study shows that, in addition to macrovascular complications, dyslipidaemia is common in type 2 diabetes mellitus patients with microvascular complications.

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Section: Discussionmentioning

confidence: 99%

Dyslipidaemia Associated with Type 2 Diabetics with Micro and Macrovascular Complications among Ghanaians

et al. 2011

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“…Surprisingly, the percentage of patients with known diabetes showing HT (60.6% in men and 68.8% in women) is higher than among people with undetected diabetes (55.4% in men and 57.1% in women); this may indicate poor control of HT in known diabetes. Treatment of HT in adult patients with diabetes has been reviewed by Arauz-Pacheco et al 26 these authors recommend that diabetic patients with BP 4130 mm Hg systolic or 480 mm Hg diastolic are candidates for antihypertensive treatment: between 130/80 and 140/90 mm Hg, a behavioural approach (moderate sodium restriction, calorie and alcohol restriction and increased physical activity) may be used for at least 3 months, whereas patients with BP X140/90 mm Hg are candidates for immediate pharmacological treatment in addition to behavioural treatment. Thus, there is a clear need for follow-up of diabetic patients with HT.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, awareness, treatment and control of hypertension in Galicia (Spain) and association with related diseases

Perez-Fernandez

Mariño²,

Cadarso‐Suárez

et al. 2007

J Hum Hypertens

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The present study evaluated the prevalence of hypertension (HT) and its possible relationships with various risk factors in a representative sample (n ¼ 2884) of the adult population (418 years old) of Galicia, a region of Spain. Subjects were selected by a two-step cluster sampling procedure from the Galician public health service database, which covers more than 95% of the population (2.7 million inhabitants). The overall prevalence of HT, defined as BP 4140/90 mm Hg and/or current treatment with antihypertensive medication, was 25.5%, higher in men (31.1%) than in women (20.7%). Of the hypertensive subjects 50.6% were aware of the HT; of these, 72.0% were receiving treatment and 36.4% were treated and controlled. The prevalence of HT increased with age and was higher in subjects from urban areas than rural areas and higher in subjects with low educational level. Surprisingly, people with low educational level more frequently showed awareness of HT than people with high education level. Increased body mass index was related to increased prevalence of HT and close associations were observed between HT and cardiovascular diseases. Our data also show a linear upward trend in blood pressure from normal glucose metabolism to diabetes mellitus. Surprisingly, the prevalence of HT among people with known diabetes was higher than among people with undetected diabetes, which may indicate poor control of HT in diabetic subjects.

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“…The incidence of hypertension in the diabetic population is 1.5-3 times higher than in non-diabetic age-matched individuals (1). In addition, the risk of any cardiovascular event erides (TG) and reduced high-density lipoprotein cholesterol (HDL-C) levels, with total cholesterol (TC) commonly remaining at or close to the normal range (4).…”

Section: Introductionmentioning

confidence: 99%

Effects of Telmisartan Compared with Eprosartan on Blood Pressure Control, Glucose Metabolism and Lipid Profile in Hypertensive, Type 2 Diabetic Patients: a Randomized, Double-Blind, Placebo-Controlled 12-Month Study

et al. 2004

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The Treatment of Hypertension in Adult Patients With Diabetes

Cited by 351 publications

References 123 publications

Dyslipidaemia Associated with Type 2 Diabetics with Micro and Macrovascular Complications among Ghanaians

Dyslipidaemia Associated with Type 2 Diabetics with Micro and Macrovascular Complications among Ghanaians

Prevalence, awareness, treatment and control of hypertension in Galicia (Spain) and association with related diseases

Effects of Telmisartan Compared with Eprosartan on Blood Pressure Control, Glucose Metabolism and Lipid Profile in Hypertensive, Type 2 Diabetic Patients: a Randomized, Double-Blind, Placebo-Controlled 12-Month Study

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