[Diabetes Infobus 1999. Blood pressure]

J Ecker1

  • 1Interne Abteilung, Landeskrankenhaus Gmunden, Miller von Aichholzstrasse 49, A-4810 Gmunden. post@gm.lkh.ooe.gv.at

Acta Medica Austriaca. Supplement
|November 20, 2002
PubMed

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.

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