Skip to main content
SpringerLink
Log in

Blood Pressure Elevation in Diabetes: The Results From 24-H Ambulatory Blood Pressure Recordings

  • Chapter
The Kidney and Hypertension in Diabetes Mellitus

Abstract

Ambulatory blood pressure (BP) measurement permits assessment of BP in the patients own surroundings, during normal daily activities on the job and in the night. Previously semiautomatic monitors were used, which required manually inflation of the cuff [1], or direct (intraarterial) BP measurement [2]. The first true ambulatory 24-h report of indirectly measured BP obtained with a portable and fully automatic monitor was published in 1975 [3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Sokolow M, Werdegar D, Kain HK, Hinman AT. Relationship between level of blood pressure measured casually and by portable recorders and severity of complications in essential hypertension. Circulation 1966; 34:279–298

    Article  PubMed  CAS  Google Scholar 

  2. Bevan AT, Honour AJ, Stott FH. Direct arterial pressure recording in unrestricted man. Clin Sci 1969; 36: 329–344

    PubMed  CAS  Google Scholar 

  3. Schneider RA, Costiloe JP. Twenty-four hour automatic monitoring of blood pressure and heart rate at work and at home. Am Heart J 1975; 90: 695–702

    Article  PubMed  CAS  Google Scholar 

  4. Rubier S, Abenavoli T, Greenblatt HA, Dixon JF, Cieslik CJ. Ambulatory blood pressure monitoring in diabetic males: A method for detecting blood pressure elevations undisclosed by conventional methods. Clin Cardiol 1982; 5: 447–454

    Article  Google Scholar 

  5. Osei K. Ambulatory and exercise-induced blood pressure responses in type I diabetic patients and normal subjects. Diabetes Research and Clinical Practice 1987; 3: 125–134

    Article  PubMed  CAS  Google Scholar 

  6. Porcellati C, Gatteschi C, Benemio G, Guerrieri M, Boldrini F, Verdecchia P. Analisi ecocardiografica del ventriculo sinistro in pazienti con diabete mellito di tipo H. G Ital Cardiol 1989; 19: 128–135

    PubMed  CAS  Google Scholar 

  7. Verdecchia P, Gatteschi C, Benemio G, Porcellati C. Ambulatory blood pressure monitoring in normotensive and hypertensive patients with diabetes (abstract). J Hypertension 1988; 6(suppl 4) S692–S693

    Google Scholar 

  8. Rubier S, Chu DA, Bruzzone CL. Blood pressure and heart rate responses during 24-h ambulatory monitoring and exercise in men with diabetes mellitus. Am J Cardiol 1985; 55: 801–806

    Article  Google Scholar 

  9. Guilleminault C, Mondini S, Hayes B. Diabetic autonomic dysfunction, blood pressure and sleep. Ann Neurol 1985; 18: 670–675

    Article  PubMed  CAS  Google Scholar 

  10. Reeves RA, Shapiro AP, Thompson ME, Johnsen A-M Loss of nocturnal decline in blood pressure after cardiac transplantation. Circulation 1986; 73: 401–408

    Article  PubMed  CAS  Google Scholar 

  11. Liniger C, Favre L, Adamec R, Pernet A, Assal J-Ph. Profil nyctémeral de la pression artérielle et de la fréquence cardiaque dans la neuropathie diabétique autonome. Schweiz Med Wschr 1987;117:1949–1953

    PubMed  CAS  Google Scholar 

  12. Hornung RS, Mahler RF, Raftery EB. Ambulatory blood pressure and heart rate in diabetic patients: an assessment of autonomic function. Diabetic Med 1989; 6: 579–585

    Article  PubMed  CAS  Google Scholar 

  13. Chanudet X, Bauduceau B, Ritz P, Jolibois P, Garcin JM, Larroque P, Gautier D. Neuropathie végétative et régulation tension elle chez le diabétique. Arch Mal Coer 1989; 82:1147–1151

    CAS  Google Scholar 

  14. The National High Blood Pressure Education Program Coordinating Commitee. National High Blood Pressure Education Program Working Group Report on ambulatory blood pressure monitoring. Arch Intern Med 1990; 150: 2270–2280

    Article  Google Scholar 

  15. Stewart MJ, Padfield PL. Blood Pressure measurement: an epitaph for the mercury manometer ? Clin Sci 1992; 83:1–12

    PubMed  CAS  Google Scholar 

  16. Purcell H J, Gibbs SR, Coats AJS, Fox KM. Ambulatory blood pressure monitoring and Orcadian variation of cardiovascular disease; clinical and research applications. Int J Cardiol 1992; 36: 135–149

    Article  PubMed  CAS  Google Scholar 

  17. Stewart MJ, Padfield PL. Measurement of blood pressure in the technological age. Brit Med Bull 1994; 50:420–442

    PubMed  CAS  Google Scholar 

  18. Pickering TG. Blood pressure measurement and detection of hypertension. Lancet 1994; 344: 31–35

    Article  PubMed  CAS  Google Scholar 

  19. Staessen JA, Fagard R, Thijs L, Amery A. A consensus view of the technique of ambulatory blood pressure monitoring. Hypertens 1995; [part 1]: 912–918

    Google Scholar 

  20. Pickering TG. Recommendations for the use of home (self) and ambulatory blood pressure monitoring. Am J Hypertens 1995; 9: 11

    Google Scholar 

  21. Halimi S, Benhamou PY, Mallion JM, Gaudemaris R, Bachelot I. Intérêt de l’enregistrement de la pression artérielle ambulatoire chez les patients diabétiques. Diabete Metab (Paris) 1991; 17: 538–544

    CAS  Google Scholar 

  22. White WB. Diumal blood pressure and blood pressure variability in diabetic normotensive and hypertensive subjects. J Hypertension 1992; 10(suppl 1): S35–S41

    Article  Google Scholar 

  23. Hansen KW. How to monitor blood pressure changes in the diabetes clinic: office, home or 24 h-ambulatory blood pressure recordings. In: Mogensen CE, Standi E (eds). Diabetes Forum Series volume IV. Concepts for the ideal diabetes clinic. Berlin, New York: Walter de Gruyter, 1993; pp. 235–248

    Google Scholar 

  24. Hansen KW, Christiansen JS. Research methodologies for recording blood pressure in diabetic patients. In: Mogensen CE, Standi E (eds). Diabetes Forum Series volume V (part 2). Research methodologies in human diabetes. Berlin, New York: Walter de Gruyter; 1994; pp. 113–124

    Google Scholar 

  25. Coats AJS, Radaelli A, Clark SJ, Conway J, Sleight P. The influence of ambulatory blood pressure monitoring on the design and interpretation of trials in hypertension. J Hypertens 1992; 10: 385–391

    Article  PubMed  CAS  Google Scholar 

  26. Coats AJS, Clark SJ, Conway J. Analysis of ambulatory blood pressure data. J Hypertens 1991; 9(suppl 8): S19–S21

    Article  Google Scholar 

  27. Germano G, Damiani S, Caparra A, Cassone-Faldetta M, Germano U, Coia F, De Mattia G, Santucci A, Balsano F. Ambulatory blood pressure recording in diabetic patients with abnormal responses to cardiovascular autonomic tests. Acta Diabetol 1992; 28:221–228

    Article  PubMed  CAS  Google Scholar 

  28. Hansen KW, Poulsen PL, Mogensen CE. Ambulatory blood pressure and abnormal albuminuria in type 1 diabetic patients. Kidney Int 1994; 45 (suppl.45): S134–S140 (Correction. Kidney Int 45:1799–1800, 1994)

    Google Scholar 

  29. Verdecchia P, Schillaci G, Guerrieri M, Gatteschi C, Benemio G, Boldrini F, Porcellati C. Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation 1990; 81: 528–536

    Article  PubMed  CAS  Google Scholar 

  30. Pickering TG. White coat hypertension. Curr Opin Nephrol Hypertens 1996; 5:192–198

    Article  PubMed  CAS  Google Scholar 

  31. Manda G, Zanchetti A. White-coat hypertension: misnomers, misconceptions and misunderstandings. What should we do next ?. J Hypertens 1996; 14:1049–1052

    Article  Google Scholar 

  32. Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Zampi I, Gattobigio R, Sacchi N, Porcellati C. White coat hypertension and white coat effect. Similarities and differences. Am J Hypertens 1995; 8: 790–798

    Article  PubMed  CAS  Google Scholar 

  33. Tovi J, Theobald H, Engfeldt P. Effect of metabolic control on 24-h ambulatory blood pressure in elderly non-insulin-dependent diabetic patients. J Hum Hypertens 1996; 10: 589–594

    PubMed  CAS  Google Scholar 

  34. Schmitz A, Mau Pedersen M, Hansen KW. Blood pressure by 24 h ambulatory recordings in type 2 (non-insulin-dependent) diabetics. Relationship to urinary albumin excretion. Diabete Metab (Paris) 1991; 17: 301–307

    CAS  Google Scholar 

  35. Nielsen FS, Rossing P, Bang Lia E, Svendsen TL, Gall M-A, Smidt UM, Parving H-H. On the mechanism of blunted nocturnal decline in arterial blood pressure in NIDDM patients with diabetic nephropathy. Diabetes 1995; 44:783–789

    Article  PubMed  CAS  Google Scholar 

  36. Mitchell TH, Nolan B, Henry M, Cronin C, Baker H, Greely G. Microalbuminuria in patients with non-insulin-dependent diabetes mellitus relates to nocturnal systolic blood pressure. Am J Med 1997; 102: 531–535.

    Article  PubMed  CAS  Google Scholar 

  37. Fogari R, Zoppi A, Malamani GD, Lazzari P, Destro M, Corradi L. Ambulatory blood pressure monitoring in normotensive and hypertensive type 2 diabetics. Prevalence of impaired diurnal blood pressure patterns. Am J Hypertens 1993; 6: 1–7

    PubMed  CAS  Google Scholar 

  38. Nielsen S, Schmitz O, Ørskov H, Mogensen CE. Similar insulin sensivity in NIDDM patients with normo- and microalbuminuria. Diabetes Care 1995; 18: 834–842

    Article  PubMed  CAS  Google Scholar 

  39. Jermendy G, Ferenzi J, Hernandez E, Farkas K, Nadas J. Day -night blood pressure variations in normotensive and hypertensive NIDDM patients with asymptomatic autonomic neuropathy. Diabetes Res Clin Pract 1996; 34: 107–114

    Article  PubMed  CAS  Google Scholar 

  40. Berrut G, Fabbri P, Bouhanick B, Lalanne P, Guilloteau G, Marre M, Fressinaud P. Loss of nocturnal blood pressure decrease in non-insulin dependent diabetis subjects with microalbuminuria. Arch Mal Coeur 1996; 89:1041–1044

    PubMed  CAS  Google Scholar 

  41. Lindsay RS, Stewart MJ, Nairn IM, Baird JD, Padfield PL. Reduced diumal variation of blood pressure in non-insulin-dependent diabetic patients with microalbumnuria. J Hum Hypertens 1995; 9: 223–227

    PubMed  CAS  Google Scholar 

  42. Pinkney JH, Foyle W-J, Denver AE, Mohamed-Ali V, McKinlay S, Yudkin JS. The relationship of urinary albumin excretion rate to ambulatory blood pressure and erythrocyte sodium-lithium countertransport in NIDDM. Diabetologia 1995; 38: 356–362

    Article  PubMed  CAS  Google Scholar 

  43. Waeber B, Weidmann P, Wohler D, Le Bloch Y. Albuminuria in diabetes mellitus. Relation to ambulatory versus office blood pressure and effects of Cilazapril. Am J Hypertens; 9:1220–1227

    Google Scholar 

  44. Iwase M, Kaseda S, lino K, Fukuhura M, Yamamoto M, Fukudome Y, Yoshizumi H, Abe I, Yoshinari M, Fujishima M. Circadian blood pressure variation in non-insulin-dependent diabetes mellitus with diabetic nephropathy. Diabetes Res Clin Pract 1994; 26: 43–50

    Article  PubMed  CAS  Google Scholar 

  45. Fogari R, Zoppi A, Malamani GD, Lazzari P, Albonico B, Corradi L. Urinary albumin excretion and nocturnal blood pressure in hypertensive patients with type II diabetes. Am J Hyp 1994; 7: 808–813

    CAS  Google Scholar 

  46. Equiluz-Bruck S, Schnack C, Schemthaner G. Nondipping of nocturnal blood pressure is related to urinary albumin excretion in patients with type 2 diabetes mellitus. Am J Hypertens 1996; 9: 1139–1143

    Article  PubMed  CAS  Google Scholar 

  47. Nakano S, Uchida K, Kigoshi T, Azukizawa S, Iwasaki R, Kaneko M, Morimoto S. Circadian rhytm of blood pressure in normotensive NIDDM subjects. Its relation to microvascular complications. Diabetes Care 1991; 14: 707–711

    Article  PubMed  CAS  Google Scholar 

  48. Nielsen S, Schmitz A, Poulsen PL, Hansen KW, Mogensen CE. Albuminuria and 24-h ambulatory blood pressure in normoalbuminuric and microalbuminuric NIDDM patients. Diabetes Care 1995; 18: 1434–1441

    Article  PubMed  CAS  Google Scholar 

  49. Chamontin B, Barbe P, Begasse F, Ghisolfi A, Amar J, Louvet JP, Salvador M. Presion artérielle ambulatoire au cours de l’hypertension arterielle avec dysautonomie. Arch Mal Coer 1990; 83: 1103–1106

    CAS  Google Scholar 

  50. Felici MG, Spallone V, Maillo MR, Gatta R, Civetta E, Frontoni S, Gambardella S, Menzinger G. Twenty-four hours blood pressure and heart rate profiles in diabetics with and without autonomic neuropathy. Funct Neurol 1991; 6: 299–304

    PubMed  CAS  Google Scholar 

  51. Liniger C, Favre L, Assal J-Ph. Twenty-four hour blood pressure and heart rate profiles of diabetic patients with abnormal cardiovascular reflexes. Diabetic Med 1991; 8: 420–427

    Article  PubMed  CAS  Google Scholar 

  52. Spallone V, Bernardi L, Ricordi L, Solda P, Maillo MR, Calciati A, Gambardella S, Fratino P, Menzinger G. Relationship between the circadian rhytms of blood pressure and sympathovagal balance in diabetic autonomic neuropathy. Diabetes 1993; 42: 1745–1752

    Article  PubMed  CAS  Google Scholar 

  53. Ikeda T, Matsubara T, Sato Y, Sakamoto N. Circadian variation in diabetic patients with autonomic neuropathy. J Hypertens 1993: 11: 581–587

    Article  PubMed  CAS  Google Scholar 

  54. Nakano S, Uchida K, Isbii T, Takeuchi M, Azukizawa S, Kigoshi T, Morimoto S. Association of a nocturnal rise in plasma α-atrial natriuretic peptide and reversed diurnal rhytm in hospitalized normotensive subjects with non-insulin dependent diabetes mellitus. Eur J Endocrinol 1994; 131: 184–190

    Article  PubMed  CAS  Google Scholar 

  55. Sasaki E, Kitaoka H, Ohsawa N. Postprandial hypotension in patients with non-insulin-dependent diabetes mellitus. Diabetes Res Clin Pract 1992; 18: 113–121

    Article  PubMed  CAS  Google Scholar 

  56. Nakajima S, Otsuka K, Yamanaka T, Omori K, Kubo Y, Toyoshima T, Watanabe Y, Watanabe H. Ambulatory blood pressure and postprandial hypotension. Am Heart J 1992; 124:1669–1671

    Article  PubMed  CAS  Google Scholar 

  57. Pinkney JH, Mohamed-Ali V, Denver AE, Foster C, Sampson MJ, Yudkin JS. Insulin resistance, insulin, proinsulin, and ambulatory blood pressure in type II diabetes. Hypertension 1994; 24: 362–367

    Article  PubMed  CAS  Google Scholar 

  58. Rynkiewicz A, Furmanski J, Narkiewicz K, Semetkowska E, Bieniaszewski L, Horoszek-Maziarz S, Krupa-Wojciechowska B. Influence of duration of type 1 (insulin-dependent) diabetes mellitus on 24-h ambulatory blood pressure and heart rate profile (letter). Diabetologia 1993;36: 577

    Article  PubMed  CAS  Google Scholar 

  59. Hansen KW, Poulsen PL, Christiansen JS, Mogensen CE. Determinants of 24-h blood pressure in IDDM patients. Diabetes Care 1995; 18: 529–535

    Article  PubMed  CAS  Google Scholar 

  60. Donaldson DL, Moore WV, Chonko AM, Shipman JJ, Wiegmann T. Incipient hypertension precedes incipient nephropathy in adolescents and young adults with type I diabetes (abstract). Diabetes 1992; 42(suppl 1): 97A

    Google Scholar 

  61. Mathiesen ER, Hilsted J, Feldt-Rasmussen B, Bonde-Petersen F, Christensen NJ, Parving H-H. The effect of metabolic control on hemodynamics in short-term insulin-dependent diabetic patients. Diabetes 1985; 34: 1301–1305

    Article  PubMed  CAS  Google Scholar 

  62. Richards AM, Donelly T, Nicholls MG, Dcram H, Hamilton EJ, Espiner EA Blood pressure and vasoactive hormones with improved glycemic control in patients with diabetes mellitus. Clin Exp Hypertens [A] 1989; All:391–406

    Google Scholar 

  63. Mathiesen ER, Gall M-A. Hommel E, Skøtt P, Parving H-H. Effects of short term strict metabolic control on kidney function and extracellular volume in incipient diabetic nephropathy. Diabetic Med 1989; 6: 595–600

    Article  PubMed  CAS  Google Scholar 

  64. Hansen KW, Pedersen MM, Christiansen JS, Mogensen CE. Night blood pressure and cigarette smoking: disparate associations in healthy subjects and diabetic patients. Blood Pressure 1994; 3: 381–388

    Article  PubMed  CAS  Google Scholar 

  65. Poulsen PL, Ebbehøj E, Hansen KW, Mogensen CE. Effects of smoking on 24-h ambulatory blood pressure and autonomic function in normoalbuminuric IDDM patients. Am J Hypertens (in press)

    Google Scholar 

  66. Mikkelsen KL, Wiinberg N, Høegholm A, Christensen HR, Bang LE, Nielsen PE, Svendsen TL, Kampmann JP, Madsen NH, Bentzon MW. Smoking related to 24 hrs ambulatory blood pressure and heart rate. A study in 352 normotensive Danish subjects. Am J Hypertens 1997; 10:483–491.

    Article  PubMed  CAS  Google Scholar 

  67. Sinha RN, Patrick AW, Richardson L, MacFarlane IA. Diurnal variation in blood pressure in insulin-dependent diabetic smokers and non-smokers with and without microalbuminuria. Diabetic Med 1997; 14:291–295.

    Article  PubMed  CAS  Google Scholar 

  68. Hansen KW, Christensen CK, Andersen PH, Mau Pedersen M, Christiansen JS, Mogensen CE. Ambulatory blood pressure in microalbuminuric type 1 diabetic patients. Kidney Int 1992; 41: 847–854

    Article  PubMed  CAS  Google Scholar 

  69. Benhamou PY, Halimi S, De Gaudemaris R, Boizel R, Pitiot M, Siche JP, Bachelot I, Mallion JM Early disturbances of ambulatory blood pressure load in normotensive type 1 diabetic patients with microalbuminuria. Diabetes Care 1992; 15: 1614–1619

    Article  PubMed  CAS  Google Scholar 

  70. Peters A, Gromeier S, Kohlmann T, Look D, Kerner W. Nocturnal blood pressure elevation is related to adrenomedullary hyperactivity, but not to hyperinsulinemia, in nonobese normoalbuminuric type 1 diabetic patients. J Clin Endocrinol Metab 1996; 81: 507–512

    Article  PubMed  CAS  Google Scholar 

  71. Gilbert R, Philips P, Clarke C, Jerums G. Day-night blood pressure variation in normotensive normoalbuminuric type I diabetic subjects. Diabetes Care 1994; 17: 824–827

    Article  PubMed  CAS  Google Scholar 

  72. Khan N, Couper J, Dixit M, Couper R. Ambulatory Mood pressure and heart rate in adolescents with insulin-dependent diabetes mellitus. Am J Hyp 1994; 7: 937–940

    CAS  Google Scholar 

  73. Guglielmi MD, Pierdomenico SD, Salvatore L, Romano R, Tascione E, Pupillo M, Porreca E, Imbastaro T, CuccuruUo F, Mezzetti A. Impaired left ventricular diastolic function and vascular postischemic vasodilation associated with microalbuminuria in IDDM patients. Diabetes Care 1995; 18:353–360

    Article  PubMed  CAS  Google Scholar 

  74. Moore WV, Donaldson DL, Chonko AM, Ideus P, Wiegmann TB, Wiegmann. Ambulatory blood pressure in type I diabetes mellitus. Comparison to presence of incipient nephropathy in adolescents and young adults. Diabetes 41; 1992:1035–1041

    Article  PubMed  CAS  Google Scholar 

  75. Sivieri R, Deandrea M, Gai V, Cavallo-Perin P. Circadian blood pressure levels in normotensive normoalbuminuric type 1 diabetic patients. Diabetic Med 1994; 11; 357–361

    Article  PubMed  CAS  Google Scholar 

  76. Hansen KW. Ambulatory blood pressure in insulin-dependent diabetes; the relation to stages of diabetic kidney disease. J Diab Comp 1996; 10:331–351

    Article  CAS  Google Scholar 

  77. Wiegmann TB, Herron KG, Chonko AM, Macdougall ML, Moore WV. Recognition og hypertension and abnormal blood pressure burden with ambulatory blood pressure recordings in type I diabetes mellitus. Diabetes 1990; 39:1556–1560

    Article  PubMed  CAS  Google Scholar 

  78. Yip J, Mattock MB, Morocutti A, Sethi M, Trevisan R, Viberti G. Insulin resistance in insulin-dependent diabetic patients with microalbuminuria. Lancet 1993; 342: 883–887

    Article  PubMed  CAS  Google Scholar 

  79. Lurbe A, Redon J, Pascual JM, Tacons J, Alvarez V, Batlle DC. Altered blood pressure during sleep in normotensive subjects with type I diabetes. Hypertension 1993; 21: 227–235

    Article  PubMed  CAS  Google Scholar 

  80. Berrut G, Hallab M, Bouhanick B, Chameau A-M, Marre M, Fressinaud Ph. Value of ambulatory blood pressure in type I (insulin-dependent) diabetic patients with incipient diabetic nephropathy. Am J Hyp 1994; 7: 222–227

    Article  CAS  Google Scholar 

  81. Hansen KW, Mau Pedersen M, Marshall SM, Christiansen JS, Mogensen CE. Circadian variation of blood pressure in patients with diabetic nephropathy. Diabetologia 1992; 35: 1074–1079

    Article  PubMed  CAS  Google Scholar 

  82. Torffvit O, Agardh C-D. Day and night variations in ambulatory blood pressure in type 1 diabetes mellitus with nephropathy and autonomic neuropathy. J Intern Med 1993; 233: 131–137

    Article  PubMed  CAS  Google Scholar 

  83. Poulsen PL, Hansen KW, Mogensen CE. Ambulatory blood pressure in the transition from normo- to microalbuminuria. A longitudinal study in IDDM patients. Diabetes 1994; 43; 1248–1253

    Article  PubMed  CAS  Google Scholar 

  84. Hansen KW, Pedersen MM, Christiansen, Mogensen CE. Diurnal blood pressure variations in normoalbuminurictype 1 diabetic patients. J Int Med 1993; 234: 175–180

    Article  CAS  Google Scholar 

  85. Poulsen PL, Ebbehøj E, Hansen KW, Mogensen CE. 24-h blood pressure and autonomic function is related to albumin excretion within the normoalbuminuric range in IDDM patients. Diabetologia 1997; 40: 718–725

    Article  PubMed  CAS  Google Scholar 

  86. Page SR, Manning G, Ingle AR, Hill P, Millar-Craig MW, Peacock I. Raised ambulatory blood pressure in type 1 diabetes with incipient microalbuminuria. Diabetic Med 1994; 11; 877–882

    Article  PubMed  CAS  Google Scholar 

  87. Spallone V, Gambardella S, Maiello MR, Barini A, Frontoni S, Menzmger G. Relationship between autonomic neuropathy, 24-h blood pressure, and nephropathy in normotensive IDDM patients. Diabetes Care 1994; 17: 578–584

    Article  PubMed  CAS  Google Scholar 

  88. Monteagudo PT, Nóbrega JC, Cazarini PR, Ferreira SRG, Kohlmann O, Ribeiro AB, Zanella M-T. Altered blood pressure profile, autonomic neuropathy and nephropathy in insulin-dependent diabetic patients. European J of Endocrinology 1996; 135: 683–688.

    Article  CAS  Google Scholar 

  89. Dyrberg T, Benn J, Sandahl Christiansen J, Hilsted J, Nerup J. Prevalence of diabetic autonomic neuropathy measured by simple bedside test. Diabetologia 1981; 20: 190–194

    Article  PubMed  CAS  Google Scholar 

  90. Zander E, Schulz, Heinke P, Grimmberger E, Zander G, Gottschling HD. Importance of cardiovascular autonomic dysfunction in IDDM subjects with diabetic nephropathy. Diabetes Care 1989; 12: 259–264

    Article  PubMed  CAS  Google Scholar 

  91. Mølgaard H, Christensen PD, Sørensen KE, Christensen CK, Mogensen CE. Association of 24-h cardiac parasympathetic activity and degree of nephropathy in IDDM patients. Diabetes 1992; 41:812–817

    Article  PubMed  Google Scholar 

  92. Mølgaard H, Christensen PD, Hermansen K, Sørensen KE, Christensen CK, Mogensen CE. Early recognition of autonomic dysfunction in microalbuminuria: significance for cardiovascular mortality in diabetes mellitus. Diabetologia 1994; 37; 788–796

    Article  PubMed  Google Scholar 

  93. Hansen KW. Diurnal blood pressure profile, autonomic neuropathy and nephropathy in diabetes. European J of Endocrinology 1997; 136:35–36

    Article  CAS  Google Scholar 

  94. Farmer CKT, Goldsmith DJA, Quin JD, Dallyn P, Cox J, Kingswood JC, Sharpstone P. Progression of diabetic nephropathy-Is diurnal blood pressure rhytm as important as absolute blood pressure level. Nephrol Dial Transplant (in press)

    Google Scholar 

  95. Pecis M, Azevedo MJ, Gross JL. Glomerular hyperfiltration is associated with blood pressure abnormalities in normotensive normoalbuminuric IDDM patients. Diabetes Care 1997; 20:1329–1333

    Article  PubMed  CAS  Google Scholar 

  96. Hansen KW, Sørensen K, Christensen PD, Pedersen EB, Christiansen JS, Mogensen CE. Night blood pressure: relation to organ lesions in microalbuminuric type 1 diabetic patients. Diabetic Med 1995; 12: 42–45

    Article  PubMed  CAS  Google Scholar 

  97. Mulec H, Blohmé G, Kullenberg K, Nyberg G, Bjørck S. Latent overhydration and nocturnal hypertension in diabetic nephropathy. Diabetologia 1995; 38; 216–229

    Article  PubMed  CAS  Google Scholar 

  98. Hansen HP, Rossing P, Tamow L, Nielsen FS, Jensen BR, Parving H-H. Circadian rhytm of arterial blood pressure and albuminuria in diabetic nephropathy. Kidney Int 1996; 50; 579–585

    Article  PubMed  CAS  Google Scholar 

  99. Poulsen PL, Juhl B, Ebbehøj E, Klein F, Christiansen C, Mogensen CE. Elevated ambulatory blood pressure in microalbuminuric IDDM patients is inversely associated with renal plasma flow. A compensatory mechanism ? Diabetes Care 1997; 20:429–432

    Article  PubMed  CAS  Google Scholar 

  100. Poulsen PL, Bek T, Ebbehøj E, Hansen KW, Mogensen CE. 24-h ambulatory blood pressure and retinopathy in normoalbuminuric IDDM patients. Diabetologia (1998) 41:105–110.

    Article  PubMed  CAS  Google Scholar 

  101. Hansen KW, Schmitz A, Mau Pedersen M. Ambulatory blood pressure measurement in type 2 diabetic patients: Methodological aspects. Diabetic Med 1991; 8: 567–572

    Article  CAS  Google Scholar 

  102. Mau Pedersen M, Hansen KW, Schmitz A, Sørensen K, Christensen CK, Mogensen CE. Effects of ACE inhibition supplementary to beta blockers and diuretics in early diabetic nephropathy. Kidney Int 1992; 41: 883–890

    Article  Google Scholar 

  103. Wiegmann TB, Herron KG, Chonko AM, MacDougall ML, Moore WV. Effect of angiotensin-converting enzyme inhibition on renal function and albuminuria in normotensive type I diabetic patients. Diabetes 1992; 41: 62–67

    Article  PubMed  CAS  Google Scholar 

  104. Nielsen FS, Rossing P, Gall M-A, Skøtt P, Smidt UM, Parving H-H. Impact of lisinopril and atenolol on kidney function in hypertensive NIDDM subjects with diabetic nephropathy. Diabetes 1994; 43; 1108–1113

    Article  PubMed  CAS  Google Scholar 

  105. Sundaresan P, Lykos D, Daher A, Diamond T, Morris R, Howes LG. Comparative effects of glibenclamide and metformin on ambulatory blood pressure and cardiovascular reactivity in NIDDM. Diabetes Care 1997; 20: 692–697

    Article  PubMed  CAS  Google Scholar 

  106. Hansen KW, Klein F, Christensen PD, Sørensen K, Andersen PH, Mailer J, Pedersen EB, Christiansen JS, Mogensen CE. Effects of Captopril on ambulatory blood pressure, renal and cardiac function in microalbuminuric type 1 diabetic patients. Diabete Metab (Paris) 1994; 20; 485–493

    CAS  Google Scholar 

  107. Rossing P, Tamow L, Boelskifte S, Jensen BR, Nielsen FS, Parving H-H. Differences between nisoldipine and lisinopril on glomerular filtration rates and albuminuria in hypertensive IDDM patients with diabetic nephropathy during the first year of treatment Diabetes 1997; 46: 481–487

    Article  PubMed  CAS  Google Scholar 

  108. Rossing P, Hansen BV, Nielsen FS, Myrup B, Holmer G, Parving H-H. Fish oil in diabetic nephropathy. Diabetes Care 1996; 19: 1214–1219

    Article  PubMed  CAS  Google Scholar 

  109. Agardh CD, Garcia Puig J, Charbonnel B, Angelkort B, Bamett AH. Greater reduction of urinary albumin excretion in hypertensive type II diabetic patients with incipient nephropathy by lisinopril than by nifedipine. J Hum Hypertens 1996; 10:185–192

    PubMed  CAS  Google Scholar 

  110. Schneider M, Lerch M, Papiri M, Buechel P, Boehlen L, Shaw S, Risen W, Weidmann. Metabolic neutrality of combined varapamil-trandolapril treatment in contrast to beta-blocker-low-dose chlortalidone treatment in hypertensive type 2 diabetes. J Hypertens 1996; 14:669–677

    Article  PubMed  CAS  Google Scholar 

  111. Rasmussen OW, Thomsen C, Hansen KW, Vesterlund M, Winther E, Hermansen K. Effects on blood pressure, glucose and lipid levels of a high-monounsaturated fat diet compared with a higi-carbohydrate diet in NIDDM subjects. Diabetes Care 1993; 16:1565–1571

    Article  PubMed  CAS  Google Scholar 

  112. Nielsen S, Hermansen K, Rasmussen OW, Thomsen C, Mogensen CE. Urinary albumin excretion rate and 24-h ambulatory blood pressure in NIDDM with microalbuminuria: effects of a monounsaturated-enriched diet. Diabetologia 1995; 38; 1069–1075

    Article  PubMed  CAS  Google Scholar 

  113. Palatini P, Racioppa A, Raule G, Zaninotto M, Penzo M, Pessina AC. Effect of timing of administration on the plasma ACE inhibitory activity and the antihypertensive effect of quinapril. Clin Pharmacol Ther 1992; 52; 378–383

    Article  PubMed  CAS  Google Scholar 

  114. Morgan T, Anderson A, Jones E. The effect on 24h blood pressure control of an angiotensin converting enzyme inhibitor (Perindopril) administered in the morning or at night. J Hypertens 1997;15:205–211

    Article  PubMed  CAS  Google Scholar 

  115. Portaluppi F, Vergnani L, Manfredini R, Uberti ECD, Fersini C. Time-dependent effect of isradipine on the nocturnal hypertension in chronic renal failure. Am J Hyp 1995; 8; 719–726

    Article  CAS  Google Scholar 

  116. Gambardella S, Frontoni S, Spallone V, Maiello MR, Civetta E, Lanza G, Sandric S, Menzinger G. Increased left ventricular mass in normotensive diabetic patients with autonomic neuropathy. Am J Hyp 1993; 6: 97–102

    CAS  Google Scholar 

  117. Nielsen FS, Ali S, Rossing P, Bang LE, Svendsen TL, Gall M-A, Smidt UM, Kastrup J, Parving H-H. Left ventricular hypertrophy and systolic dysfunction in non-insulin dependent diabetic patients with and without diabetic nephropathy (abstract). Journal of the American Society of Nephrology 1995; 6: 453

    Google Scholar 

  118. Verdecchia P, Porcellati C, Schillaci G, Borgioni, Ciucci A, Gatteschi C, Zampi I, Santucci A, Santucci C, Reboldi G. Ambulatory blood pressure and risk of cardiovascular disease in type II diabetes mellitus. Diab Nutr Metab 1994; 7: 223–231

    Google Scholar 

  119. Ebbehøj E, Poulsen PL, Hansen KW, Mogensen CE. White coat effect in diabetes: ambulatory blood pressure in relation to clinic based measurement (abstract). Diabetologia 1997; 40(suppl 1): A12

    Google Scholar 

  120. Nielsen FS, Gaede P, Vedel P, Pedersen O, Parving H-H. White coat hypertension in NIDDM patients with and without incipient and over diabetic nephropathy. Diabetes Care 1997; 20: 859–863

    Article  PubMed  CAS  Google Scholar 

  121. Puig JG, Ruilope LM, Ortega R. Antihypertensive treatment efficacy in type II diabetes mellitus. Dissociation between casual and 24-hour ambulatory blood pressure. Hypertension 1995; 26(part 2): 1093–1099

    Article  PubMed  CAS  Google Scholar 

  122. Burgess E, Mather K, Ross S, Josefsberg Z. Office hypertension in Type 2 (non-insulin-dependent) diabetic patients (letter). Diabetologia 1991; 34:684

    Article  PubMed  CAS  Google Scholar 

  123. The Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The sixth report of the joint national committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med 1997; 157: 2413–2446

    Article  Google Scholar 

  124. O’Brien E, Staessen J. Normotension and hypertension as defined by 24-hour ambulatory blood pressure monitoring Blood Pressure 1995; 4; 266–282

    Article  PubMed  Google Scholar 

  125. Thijs L, Amery A, Clement D, Cox J, de Cort P, Fagard R, Fowler G, Guo C, Mancia G, Marin R, O’Brien E, O’Malley K, Palatini P, Parati G, Petrie J, Ravogli A, Rosenfeld J, Staessen J, Webster J. Ambulatory blood pressure monitoring in elderly patients with isolated systolic hypertension. J Hypertens 1992; 10; 693–699

    Article  PubMed  CAS  Google Scholar 

  126. SHEP Cooperative Research Group. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. JAMA 1991; 265; 3255–3264

    Article  Google Scholar 

  127. Rutan GH, McDonald RH, Kuller LH. Comparison of ambulatory and clinic blood pressure and heart rate in older persons with isolated systolic hypertension. Am J Hypertens 1992; 5; 880–886

    PubMed  CAS  Google Scholar 

  128. Viberti GC, Mogensen CE, Passa P, Bilous R, Mangili R. St Vincent declaration, 1994: guidelines for the prevention of diabetic renal failure. In: Mogensen CE (ed). The kidney and hypertension in diabetes mellitus, 2nd ed. Boston, Dordrecht/London: Kluwer, 1994; pp.515–527

    Chapter  Google Scholar 

  129. Mogensen CE, Keane WF, Bennet PH, Jerums G, Parving H-H, Passa P, Steffes MW, Striker GE, Viberti GC. Prevention of diabetic renal disease with special reference to microalbuminuria. Lancet 1995; 346; 1080–1084

    Article  PubMed  CAS  Google Scholar 

  130. Consensus statement. Treatment of hypertension in diabetes. Diabetes Care 1993; 16: 1394–1401

    Google Scholar 

  131. The national high blood pressure education program working group. National high blood pressure education program working group report on hypertension in diabetes. Hypertension 1994;23:145–158

    Article  Google Scholar 

  132. The guidelines subcommittee of the WHO/ISH mild hypertension liaison committee. 1993 guidelines for the management of mild hypertension. Hypertension 1993; 22: 392–403

    Article  Google Scholar 

  133. Sochett BE, Poon I, Balfe W, Daneman D. Ambulatory Blood Pressure Monitoring in Insulin-Dependent Diabetes Mellitus Adolescents With and Without Microalbuminuria. J Diab Comp 12:18–23.

    Google Scholar 

  134. Mølgaard H, Hermansen K. Evaluation of cardiac autonomic neuropathy by heart rate variability. In: Mogensen CE, Standi E (eds). Diabetes Forum Series volume V (part 1). Research methodologies in human diabetes. Berlin, New York: Walter de Gruyter, 1994, pp 219–240

    Google Scholar 

  135. Imholz BPM, Langewouters GJ, van Montfrans A, Parati G, van Goudoever J, Wesseling KH, Wieling W, Mancia G. Feasibility of ambulatory, continous 24-hour finger arterial pressure recording. Hypertension 1993; 21: 65–73

    Article  PubMed  CAS  Google Scholar 

  136. van Ittersum FJ, Spek JJ, Praet IJA, Lambert J, Ijzerman RG, Fischer HRA, Nikkeis RE, Van Bortel LMAB, Donker AJM, Stehouwer CDA. Ambulatory blood pressures and autonomic nervous function in normoalbuminuric type I diabetic patients. Nephrol Dial Transplant 1998; 13:326–332.

    Article  PubMed  Google Scholar 

  137. Fagerudd JA, Tamow L, Jacobsen P, Stenman S, Nielsen FS, Petterson-Fernholm KJ, Grönhagen-Riska C, Parving H-H, Groop P-H. Predisposition to essential hypertension and development of diabetic nephropathy in IDDM patients. Diabetes 1998; 47: 439–444.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Medical Department M, Aarhus Kommunehospital, Aarhus, Denmark

    Klavs Würgler Hansen, Per Løgstrup Poulsen & Eva Ebbehøj

Authors
  1. Klavs Würgler Hansen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Per Løgstrup Poulsen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Eva Ebbehøj
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Medical Department M (Diabetes & Endocrinology), Aarhus Kommunehospital, Aarhus University Hospital, Aarhus C, Denmark

    Carl Erik Mogensen

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Hansen, K.W., Poulsen, P.L., Ebbehøj, E. (1998). Blood Pressure Elevation in Diabetes: The Results From 24-H Ambulatory Blood Pressure Recordings. In: Mogensen, C.E. (eds) The Kidney and Hypertension in Diabetes Mellitus. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6752-0_35

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-6752-0_35

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-6754-4

  • Online ISBN: 978-1-4757-6752-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation