Hypertension in diabetes mellitus

A heart attack
Alzheimer's Disease


hypertension in diabetesArterial hypertension in patients with diabetes mellitus is found in almost in 2 times more often than in the General population.

found that in patients with diabetes mellitus group 1 hypertension is detected in 20 % of cases, and its main cause is considered to be a diabetic nephropathy. Detection of hypertension in diabetic patients of group 2 is on average 60% of that in 2 times more often than in persons without diabetes. Moreover - this is the most frequent concomitant disease of diabetes 2, often primary hypertension is the cause of the development of diabetes.

Presumably, disorders of carbohydrate metabolism and high blood pressure are interrelated and arise due to the lower sensitivity of cells to insulin. This phenomenon is particularly inherent in the metabolic syndrome.

the Combination of hypertension and diabetes mellitus greatly increases the risk of development of microangiopathy and macroangiopathies, defeat of, respectively, small and large blood vessels. The rate of progression may be somewhat slowed with intensive early treatment of high blood pressure - the so-called anti-hypertensive therapy. It is proved that strict pressure control in patients with diabetes in combination with hypertension reduces the risk of complications of diabetes at 22-26 %, and the mortality rate associated with diabetes up to 32%.

For patients with arterial hypertension without the speed of diabetes target blood pressure is not allowed more than 140/85-140/90 MRT.PT. With a combination of high pressure and without diabetes of kidney failure - 135/80 mm Hg, or 130/85.CT., when violations of kidney function - 125/75 mm Hg. art.

As a rule, to achieve the pressure levels specified above, and to ensure their stability is not easy. Moreover, for elderly people who suffer from diabetes and hypertension, are allowed somewhat high blood pressure levels in comparison with young and middle age. In this case, the hypertension requires treatment, however, the pressure reduction should be gradual and softer than for young people. For example, the goal of treatment of persons aged 60 to 80 years is lowering blood pressure to less than 140/90 MRT.CT., and for those even older - less than 150/90mm Hg.PT. To start treatment is preferable with the adoption of calcium channel blockers and thiazide diuretics.

you Also need to add that with age generally increases and the gap difference between systolic and diastolic blood pressure and isolated systolic hypertension occurs more frequently. If the pressure is too differ, but the diastolic pressure is determined by more than 50 MRT.PT. below, it becomes a quite high vulnerability to heart attack or stroke.

the Combination of high blood pressure and diabetes is to the body a high risk, so drug treatment is shown to patients regardless of the degree of increase in blood pressure. Antihypertensive drug therapy is carried out on the background of continuous non-drug treatment that can reduce the dose of drugs, increase their efficiency and lower the risk of side effects of drugs.

approaches to the treatment mentioned above, adopted by the international medicine and more are standard scheme. However, there are no standard patients, and from experience, to reach the target levels at a part suffering from diabetes and arterial hypertension of 1 degree is possible only with the help of non-pharmacological treatment.