Management of high blood pressure in diabetes mellitus: lessons from The ADA Recommendation.
نویسنده
چکیده
INTRODUCTION Type 2 Diabetes Mellitus (T2DM) is often associated with devastating diabetic complications: nephropathy, retinopathy, coronary artery disease, cerebrovascular disease, peripheral vascular disease, and neuropathy. Hypertension is a common co-morbidity in diabetes mellitus, therefore the consequences of high blood pressure on T2DM should be considered. Among diabetics, hypertension is very commonly found as part of the metabolic-cardiovascular syndrome (insulin resistance syndrome = cardio-metabolic syndrome), clustered together with microalbuminuria. Components of metabolic-cardiovascular syndrome can be found as follows: • Central obesity • Insulin resistance • Low HDL-cholesterol levels • High triglyceride levels • Systolic hypertension • Absent nocturnal drop in blood pressure • Salt sensitivity • Male sex • Increased cardiovascular oxidative stress • Impaired endothelial function • Abnormal coagulation / fibrinolytic profiles
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ورودعنوان ژورنال:
- Acta medica Indonesiana
دوره 36 1 شماره
صفحات -
تاریخ انتشار 2004