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Updated: Aug 10, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Diabetes Infobus 1999. Blood pressure]
1Interne Abteilung, Landeskrankenhaus Gmunden, Miller von Aichholzstrasse 49, A-4810 Gmunden. post@gm.lkh.ooe.gv.at
Insights
Hypertensive diabetic patients face a four-fold higher risk of cardiovascular issues. This study highlights elevated blood pressure and cholesterol levels in diabetic individuals, emphasizing the need for better hypertension management in diabetes care.
Area of Science:
- Cardiology
- Endocrinology
- Public Health
Background:
- Hypertension and diabetes mellitus significantly increase cardiovascular morbidity and mortality.
- Diabetic patients exhibit a four-fold higher risk for cardiovascular events compared to non-diabetic normotensive individuals.
Purpose of the Study:
- To analyze blood pressure and cholesterol levels in diabetic patients.
- To assess the prevalence of hypertension and associated risk factors within a diabetic population.
Main Methods:
- Utilized WHO/IHS definitions and a "high-normal blood pressure" category (systolic 130-140 mmHg, diastolic 85-<90 mmHg) for analysis.
- Compared blood pressure readings between diabetic and non-diabetic subjects.
- Examined blood pressure, BMI, and cholesterol levels in overweight diabetic individuals.
Main Results:
- Mean blood pressure was higher in diabetic subjects (157/85 mmHg) versus non-diabetic (141/82 mmHg).
- Only 14% of known diabetic patients had normal blood pressure; 63% were hypertensive.
- In overweight diabetic individuals (32% of the population), 51% had elevated blood pressure (systolic >150 mmHg or diastolic >90 mmHg).
- Elevated cholesterol (>200 mg/dl) was observed in 64% of subjects with high blood pressure.
Conclusions:
- Diabetic patients frequently present with elevated blood pressure and hypertension.
- Overweight status exacerbates hypertension risk in diabetic individuals.
- High blood pressure in diabetic patients is often associated with elevated cholesterol levels, underscoring a complex cardiovascular risk profile.
Abstract:
In comparison to non-diabetic normotensive control subjects, hypertensive diabetic patients have a four-fold increased risk for cardiovascular morbidity and mortality. Additional to WHO/IHS definition, the terminus "high-normal blood pressure" (systolic 130-140 mm Hg and diastolic 85 - < 90 mm Hg) was used for data analysis. The mean blood pressure was elevated among diabetic subjects (157/85 mmHg) when compared to the non-diabetic group (141/82 mm Hg). The analysis of visitors with an already known diabetes yielded only 14% of probands having normal blood pressure, whereby 63% of diabetic subjects were definitely in the hypertensive range. In overweight (BMI > 28 kg/m2) subjects, whose percentage in our population were 32%, blood pressure was elevated (RR > 150/90) in 51%. In subclasses with high blood pressure, an increased cholesterol level was often seen; 64% of these subjects had a cholesterol level of greater 200 mg/dl.
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