The Effect of Hypertension in Diabetes
The Hypertension in Diabetes Study (HDS) reported the prevalence of hypertension in newly-diagnosed type2 diabetics was 39%, using the criteria of a blood pressure >160/90 or taking medication for hypertension1. If the criterion of 140/90 is used instead, the prevalence could be as high as 90%. In the HDS the newly-diagnosed diabetic patients had already had an increased event-rate compared to the normo-tensive diabetic patients, and a follow-up study demonstrated that hypertensive diabetic patients had about twice the rate of fatal and non-fatal diabetic outcomes2. Since diabetic persons have a risk of events about twice that of non-diabetic persons, then the hypertensive diabetic person has a risk about 4-times that of a normo-tensive non-diabetic individual.
KeywordsDiabetic Nephropathy Diabetic Retinopathy United Kingdom Prospective Diabetes Study Afferent Arteriole Hypertensive Diabetic Patient
Unable to display preview. Download preview PDF.
- 2.The Hypertension in Diabetes Study Group.Hypertension in Diabetes Study (HDS): II. Increased risk of cardiovascular complications in hypertensive typpe 2 diabetic patients. J Hypertens 1993;11:319325.Google Scholar
- 6.Bjork S. Clinical trials in overt diabetic nephropathy. in.The Kidney and Hypertension in Diabetes Mellitus. CE Mogensen (ed). Kluwer Academic Publishers, Boston. 1998 pp409–418.Google Scholar