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[Hypertension and diabetes mellitus]
1Klinikum für Innere Medizin, Zentralkrankenhaus Bremen-Nord.
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|March 1, 1993
Summary
Diabetic individuals have higher rates of hypertension, with specific forms like essential, renal, and isolated systolic hypertension. Managing blood pressure is crucial for preventing complications in diabetic patients.
Area of Science:
- Cardiology
- Endocrinology
- Nephrology
Context:
- Hypertension is more prevalent in diabetic populations in industrialized nations.
- Three main hypertension types are observed: essential, renal, and isolated systolic.
- Type 2 diabetes (NIDDM) hypertension links to metabolic syndrome components like obesity and insulin resistance.
Purpose:
- To review the increased incidence and specific forms of hypertension in diabetic patients.
- To explore the relationship between diabetes, hypertension, and associated metabolic and vascular complications.
- To discuss therapeutic strategies for managing hypertension in diabetic individuals.
Summary:
- Type 1 diabetes (IDDM) hypertension is linked to diabetic nephropathy.
- Elderly type 2 diabetics often present with isolated systolic hypertension, indicating arterial stiffness.
- Hyperglycemia and hypertension interaction accelerates macrovascular and microvascular disease progression.
Impact:
- Highlights the critical need for blood pressure control in diabetes management.
- Emphasizes individualized pharmacotherapy for hypertensive diabetic patients.
- Underscores the multifactorial risks associated with hypertension in diabetes.