Hypertension in Diabetic Kidney Disease
The incidence and prevalence of diabetes mellitus (DM) are continuously growing throughout the world especially resulting from the increase in type 2 DM, which in turn is closely related to the increased prevalence of obesity. Both DM and obesity are closely related to arterial hypertension, and DM is the main cause of end-stage renal disease. Chronic kidney disease (CKD) in DM has different origins beyond diabetic nephropathy that requires a renal biopsy to make an adequate diagnosis. Because renal biopsy is not widely performed and since treatment is practically the same for renal protection in the different forms of diabetic CKD, the term diabetic kidney disease (DKD), instead of diabetic nephropathy, is amply used. Arterial hypertension requires to be strictly controlled in patients with DKD. This chapter reviews the adequate diagnosis of elevated blood pressure (BP), the goal BP to be attained, and the way to achieve it through the combination of drugs including new oral antidiabetic drugs in type 2 DM and particularly in DKD.
KeywordsDiabetic kidney disease Arterial hypertension Goal blood pressure BP measurement Antihypertensive treatment New antidiabetic drugs and BP
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