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The many faces of hypertension in individuals with type 1 diabetes

Raija Lithovius1, Per-Henrik Groop2,

  • 1Folkhälsan Institute of Genetics, Folkhälsan Research Centre, Helsinki, Finland; Department of Nephrology, University of Helsinki and Helsinki University Hospital, Finland; Research Program for Clinical and Molecular Metabolism, Faculty of Medicine, University of Helsinki, Finland.

Diabetes Research and Clinical Practice
|February 4, 2023
PubMed

Insights

Type 1 diabetes patients often have abnormal blood pressure (BP) patterns, including white-coat and masked hypertension. Early detection of these BP variations is crucial for preventing cardiovascular and renal complications.

Area of Science:

  • Cardiology
  • Endocrinology
  • Nephrology

Background:

  • Type 1 diabetes is associated with various abnormal blood pressure (BP) patterns.
  • These include discrepancies between office and out-of-office BP measurements (white-coat and masked hypertension), disturbed circadian BP variability (abnormal dipping, nocturnal hypertension), and treatment-resistant hypertension.

Conclusions:

  • Disturbed BP patterns are prevalent and significant in type 1 diabetes.
  • Comprehensive BP monitoring is necessary for accurate assessment.
  • Further research is needed to optimize management and improve prognosis.

Keywords:
Blood pressureMasked hypertensionNon-dippersResistant hypertensionType 1 diabetesWhite-coat hypertension

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