The Treatment of Hypertension in Adult Patients With Diabetes
Open accessAbstract
Hypertension is an extremely common comorbidity of diabetes, affecting 20–60% of people with diabetes. Hypertension is also a major risk factor for cardiovascular events, such as myocardial infarction and stroke, as well as for microvascular complications, such as retinopathy and nephropathy. Cardiovascular disease is the most costly complication of diabetes and is the cause of 86% of deaths in persons with diabetes (1). However, until recently, little research had been done specifically in patients with diabetes and hypertension. In reviewing the literature on diabetes and hypertension, the authors searched MEDLINE for English language articles using keywords “hypertension,” “diabetes mellitus,” “diabetic nephropathy,” and “coronary artery disease/prevention” starting from 1966. Before 1996, most available data come from secondary analysis from studies done in the general population of people with hypertension, observing a subset with diabetes. Recent studies have demonstrated the effectiveness of blood pressure treatment versus placebo in reducing complications of diabetes (2,3), helped to define the optimal level of blood pressure control (4,5,6), and compared treatment strategies based on different drug classes (7,8,9,10,11,12,13). The results of these studies support an aggressive approach to the diagnosis and treatment of hypertension in patients with diabetes in order to substantially reduce the incidence of both macrovascular and microvascular complications. ### Definition of hypertension in diabetic populations Epidemiological studies and therapeutic trials have often used different criteria to define hypertension in diabetic patients. Studies in the general population indicate an increased risk of cardiovascular disease with an increase in the level of blood pressure. Thus, an increase in diastolic or systolic blood pressure of 5 mmHg is associated with a concomitant increase in cardiovascular disease of 20–30% (14). Studies in diabetic populations have shown a markedly higher frequency of the progression of diabetic retinopathy …
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Weight loss of 1 kilogram has been reported to decrease mean arterial blood pressure by approximately 1 mm Hg.
“weight loss of 1 kilogram has been reported to decrease mean arterial blood pressure by approximately 1 mm Hg.”
From The case for low carbohydrate diets in diabetes management (2005) · cites this paper as [74]
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Calcium antagonists and cardiovascular risk in diabetes
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Calcium intake and blood pressure: epidemiology revisited.
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Calcium antagonists and the diabetic patient: a response to recent controversies
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Nitrendipine and enalapril in the treatment of diabetic hypertensive patients with microalbuminuria.
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Dietary Factors and Blood Pressure Regulation
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CHLORTHALIDONE-MODULATED VASCULAR RESPONSES TO VASODILATOR STIMULI IN DOCA-SALT HYPERTENSIVE RATS
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Standards of Medical Care in Diabetes—2009
American Diabetes Association (2009) · Diabetes Care · doi:10.2337/dc09-s013 · Cited by 2,167 · see citing works
“Evidence is summarized in the following sections and reviewed in detail in the ADA technical reviews on hypertension (155), dyslipidemia (156), aspirin therapy (157), and smoking cessation (158) and in the American Heart Association (AHA)/ADA scientific statement on prevention of CVD in people with diabetes (159).”
Standards of Medical Care in Diabetes–2006
American Diabetes Association (2006) · Diabetes Care · doi:10.2337/diacare.29.s1.06.s4 · Cited by 1,884 · see citing works
“Evidence is summarized in the following sections and reviewed in detail in the ADA technical reviews on hypertension (100), dyslipidemia (101), aspirin therapy (102), and smoking cessation (103) and the consensus statement on CHD in people with diabetes (104).”
Standards of Medical Care in Diabetes 2014
(2014) · Majmaah Journal of Health Sciences · doi:10.12816/0004790 · Cited by 1,478 · see citing works
Standards of Medical Care in Diabetes—2008
American Diabetes Association (2008) · Diabetes Care · doi:10.2337/dc08-s012 · Cited by 1,377 · see citing works
“Evidence is summarized in the following sections and reviewed in detail in the ADA technical reviews on hypertension (125), dyslipidemia (126), aspirin therapy (127), and smoking cessation (128), and in the AHA/ ADA scientific statement on prevention of CVD in people with diabetes (129).”
Nowy rok, stare problemy, ale i nowe możliwości
Czupryniak, L. (2014) · Via Medica Journals · Cited by 1,192 · see citing works
Standards of Medical Care in Diabetes—2007
American Diabetes Association (2007) · Diabetes Care · doi:10.2337/dc07-s004 · Cited by 1,190 · see citing works
“Evidence is summarized in the following sections and reviewed in detail in the ADA technical reviews on hypertension (92), dyslipidemia (93), aspirin therapy (131), and smoking cessation (94) and the consensus statement on CHD in people with diabetes (95).”
BackgroundBakris, G. L., Fonseca, V., Katholi, R. E., McGill, J. B., Messerli, F. H., Phillips, R. A., Raskin, P., Wright, J. T., Oakes, R., Lukas, M. A., et al. (2004) · JAMA · doi:10.1001/jama.292.18.2227 · Cited by 792 · see citing works
“25 mg of carvedilol twice daily and 50 mg of metoprolol twice daily to a maximum dose of 25 mg and 200 mg twice daily, respectively, at 1- to 2-week intervals toward target BP levels for a total of 2 to 7 weeks.(10,18) Target systolic BP was 135 mm Hg or less for those participants with baseline of 140 to 179 mm Hg an…”
BackgroundSelf-citationDiabetes and hypertension: a position statement by the American Diabetes Association
de Boer, I. H., Bangalore, S., Benetos, A., Davis, A. M., Michos, E. D., Muntner, P., Rossing, P., Zoungas, S., & Bakris, G. (2017) · Diabetes Care · doi:10.2337/dci17-0026 · Cited by 714 · see citing works
“However, results from trials in primary hypertension have shown a reduction in systolic blood pressure of ;5 mmHg and diastolic blood pressure of 2–3 mmHg with moderate sodium reduction (from a daily intake of 200 mmol [4,600 mg] to 100 mmol [2,300 mg] of sodium per day) (57).”
BackgroundStandards of Medical Care in Diabetes
(2004) · Diabetes Care · doi:10.2337/diacare.27.2007.s15 · Cited by 684 · see citing works
Standards of Medical Care for Patients With Diabetes Mellitus
American Diabetes Association (2003) · Diabetes Care · doi:10.2337/diacare.26.2007.s33 · Cited by 610 · see citing works
Diabetes mellitus and periodontal disease
Mealey, B. L., & Ocampo, G. L. (2007) · Periodontology 2000 · doi:10.1111/j.1600-0757.2006.00193.x · Cited by 565 · see citing works
“Initial pharmacological treatment includes drugs like angiotensin-converting enzyme inhibitors, a-adrenergic receptor blockers, low-dose thiazide diuretics, and bblockers (8).”
BackgroundSchocken, D. D., Benjamin, E. J., Fonarow, G. C., Krumholz, H. M., Levy, D. A., Mensah, G. A., Narula, J., Stuart‐Shor, E., Young, J. B., & Hong, Y. (2008) · Circulation · doi:10.1161/circulationaha.107.188965 · Cited by 548 · see citing works
Gardner, T. W., Antonetti, D. A., Barber, A. J., LaNoue, K. F., & Levison, S. W. (2002) · Survey of Ophthalmology · doi:10.1016/s0039-6257(02)00387-9 · Cited by 535 · see citing works
Treatment of Hypertension in Adults With Diabetes
American Diabetes Association (2003) · Diabetes Care · doi:10.2337/diacare.26.2007.s80 · Cited by 509 · see citing works
Managing preexisting diabetes for pregnancy
Kitzmiller, J. L., Block, J. M., Brown, F. M., Catalano, P. M., Conway, D. L., Coustan, D. R., Gunderson, E. P., Herman, W. H., Hoffman, L. D., Inturrisi, M., et al. (2008) · Diabetes Care · doi:10.2337/dc08-9020 · Cited by 476 · see citing works
Initial management of glycemia in type 2 diabetes mellitus
Nathan, D. M. (2002) · New England Journal of Medicine · doi:10.1056/nejmcp021106 · Cited by 359 · see citing works
Whelton, P. K. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.12.1401 · Cited by 290 · see citing works
“Lowering BP may provide the most effective means to reduce the risk of CVD in patients with DM.(7,8) Agents that interfere with the renin-angiotensin system, especially angiotensin-converting enzyme inhibitors (ACEIs), have been recommended as first-step antihypertensive treatment in patients with DM and proteinuria.”
BackgroundInfluentialHypertension Management in Adults With Diabetes
Arauz-Pacheco, C., Parrott, M. A., & Raskin, P. (2004) · Diabetes Care · doi:10.2337/diacare.27.2007.s65 · Cited by 281 · see citing works
Self-citationBacker, G. D., Ambrosioni, E., Broch-Johnsen, K., Brotons, C., Cífková, R., Dallongeville, J., Ebrahim, S. B. J., Færgeman, O., Graham, I. D., Mancia, G., et al. (2003) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/00149831-200312001-00001 · Cited by 273 · see citing works
Standards of Medical Care for Patients With Diabetes Mellitus
American Diabetes Association (2002) · Diabetes Care · doi:10.2337/diacare.25.2007.s33 · Cited by 262 · see citing works
Bakris, G. L., Fonseca, V. A., & Katholi, R. L. (2005) · ACC Current Journal Review · doi:10.1016/j.accreview.2004.12.136 · Cited by 254 · see citing works
Prehypertension, Diabetes, and Cardiovascular Disease Risk in a Population-Based Sample
Zhang, Y., Lee, E. T., Devereux, R. B., Yeh, J. L., Best, L. G., Fabsitz, R. R., & Howard, B. V. (2006) · Hypertension · doi:10.1161/01.hyp.0000205119.19804.08 · Cited by 250 · see citing works
“The aims of this observational study are: (1) to estimate the prevalence of prehypertension in a population with a high prevalence of diabetes and (2) to assess hazard ratios for cardiovascular disease with prehypertension in diabetic and nondiabetic individuals.”
BackgroundStandards of Medical Care for Patients With Diabetes Mellitus
American Diabetes Association (2002) · Diabetes Care · doi:10.2337/diacare.25.1.213 · Cited by 251 · see citing works
The Asheville Project: Short-term outcomes of a community pharmacy diabetes care program
Cranor, C. W., & Christensen, D. B. (2012) · Journal of the American Pharmacists Association · doi:10.1331/japha.2012.12542 · Cited by 238 · see citing works
Mohan, V., Seedat, Y. K., & Pradeepa, R. (2013) · International Journal of Hypertension · doi:10.1155/2013/409083 · Cited by 210 · see citing works
“DM and HTN coexist in approximately 40% to 60% of patients with type 2 DM [46, 47].”
BackgroundThe relationship between glycemic control and platelet activity in type 2 diabetes mellitus
Demirtunç, R., Duman, D., Başar, M., Bilgi, M. M., Teomete, M., & Garip, T. (2008) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2008.01.006 · Cited by 209 · see citing works
“Previous studies have shown that MPV increased in diabetic populations (Arauz-Pacheco et al., 2002; Perkins, Olaleye, Zinman, & Bril, 2001; Sharpe & Trinick, 1993; Winocour, 1994), but this is the first study to evaluate the impact of glycemic control on MPV. DM is a complex syndrome characterized…”
ResultThe Asheville Project: Short-Term Outcomes of a Community Pharmacy Diabetes Care Program
Cranor, C. W., & Christensen, D. B. (2003) · Journal of the American Pharmaceutical Association (1996) · doi:10.1331/108658003321480696 · Cited by 206 · see citing works
Treatment blood pressure targets for hypertension
Arguedas, J. A., Perez, M. I., & Wright, J. M. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004349.pub2 · Cited by 204 · see citing works
Type 1 diabetes, metabolic syndrome and cardiovascular risk
Chillarón, J. J., Flores Le-Roux, J. A., Benaiges, D., & Pedro-Botet, J. (2014) · Metabolism · doi:10.1016/j.metabol.2013.10.002 · Cited by 195 · see citing works
“This would explain why patients with T2DM and those with T1DM and decreased insulin sensitivity maintain low HDL cholesterol levels compared to the general population, even in a normotriglyceridemic situation; however, no specific studies in this group of T1DMpatients are available.”
BackgroundInfluentialMetabolic syndrome pathophysiology: The role of adipose tissue
Laclaustra, M., Corella, D., & Ordovás, J. M. (2007) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2006.10.005 · Cited by 189 · see citing works
Diabetic nephropathy--a review of the natural history, burden, risk factors and treatment.
Ayodele, O. E., Alebiosu, C. O., & Salako, B. L. (2004) · PubMed Central · Cited by 174 · see citing works
The implementation of nutritional advice for people with diabetes
Nutrition Subcommittee of the Diabetes Care Advisory Committee of Diabetes UK (2003) · Diabetic Medicine · doi:10.1046/j.1464-5491.2003.01104.x · Cited by 171 · see citing works
Dempsey, P. C., Sacre, J. W., Larsen, R. N., Straznicky, N. E., Sethi, P., Cohen, N. D., Cerin, E., Lambert, G. W., Owen, N., Kingwell, B. A., et al. (2016) · Journal of Hypertension · doi:10.1097/hjh.0000000000001101 · Cited by 173 · see citing works
“H ypertension and type 2 diabetes (T2D) are common comorbidities that substantially increase the risk of both microvascular and macrovascular complications [1,2].”
BackgroundDerosa, G., Ragonesi, P. D., Mugellini, A., Ciccarelli, L., & Fogari, R. (2004) · Hypertension Research · doi:10.1291/hypres.27.457 · Cited by 169 · see citing works
“5–3 times higher than in non-diabetic age-matched individuals (1).”
Backer, G. D., Ambrosio, G., Borch‐Johnsen, K., Brotons, C., Cífková, R., Dallongeville, J., Ebrahim, S. B. J., Færgeman, O., Graham, I. D., Mancia, G., et al. (2003) · PubMed · doi:10.1097/01.hjr.0000087913.96265.e2 · Cited by 151 · see citing works
Antihypertensive agents for preventing diabetic kidney disease
Lv, J., Perkovic, V., Foote, C., Craig, M. E., Craig, J. C., & Strippoli, G. F. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004136.pub3 · Cited by 148 · see citing works
Diabetes Mellitus and its Chronic Complications
Bailes, B. K. (2002) · AORN Journal · doi:10.1016/s0001-2092(06)61065-x · Cited by 146 · see citing works
Purification and Identification of antihypertensive peptides in Spanish dry-cured ham
Escudero, E., Mora, L., Fraser, P. D., Aristoy, M., Arihara, K., & Toldrá, F. (2012) · Journal of Proteomics · doi:10.1016/j.jprot.2012.10.019 · Cited by 145 · see citing works
Maahs, D. M., Kinney, G. L., Wadwa, P., Snell‐Bergeon, J. K., Dabelea, D., Hokanson, J. E., Ehrlich, J., Garg, S. K., Eckel, R. H., & Rewers, M. (2005) · Diabetes Care · doi:10.2337/diacare.28.2.301 · Cited by 138 · see citing works
“Denominator: subjects with hypertension according to JNC or ADA guidelines plus those on antihypertensive medication (numerator for the definition of prevalence).”
BackgroundInfluentialImpact of Overweight on Chronic Microvascular Complications in Type 1 Diabetic Patients
Block, C. E. M. D., Leeuw, I. H. D., & Gaal, L. F. V. (2005) · Diabetes Care · doi:10.2337/diacare.28.7.1649 · Cited by 138 · see citing works
Spontaneous Feline Hypertension: Clinical and Echocardiographic Abnormalities, and Survival Rate
Chetboul, V., Lefebvre, H. P., Pinhas, C., Clerc, B., Boussouf, M., & Pouchelon, J. (2003) · Journal of Veterinary Internal Medicine · doi:10.1111/j.1939-1676.2003.tb01328.x · Cited by 131 · see citing works
Prevalence and control of dyslipidemia among persons with diabetes in the United States
Jacobs, M. J., Kleisli, T., Pio, J. R., Malik, S., L'Italien, G. J., Chen, R. S., & Wong, N. D. (2005) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2005.03.032 · Cited by 126 · see citing works
“and women, by ethnicity (African-American, Hispanic, or Caucasian), in comparison to those without diabetes, and by treatment status [28,29].”
BackgroundSteven, S., & Taylor, R. (2015) · Diabetic Medicine · doi:10.1111/dme.12722 · Cited by 120 · see citing works
Primary Aldosteronism in Diabetic Subjects With Resistant Hypertension
Umpierrez, G. E., Cantey, P. T., Smiley, D. D., Palacio, A., Temponi, D., Luster, K., & Chapman, A. B. (2007) · Diabetes Care · doi:10.2337/dc07-0031 · Cited by 116 · see citing works
Review: Stroke prevention: modifying risk factors
Romero, J. R., Morris, J. G., & Pikula, A. (2008) · Therapeutic Advances in Cardiovascular Disease · doi:10.1177/1753944708093847 · Cited by 114 · see citing works
“…if attention is focused on more rigorous control of blood pressure with a goal of <130/80 mm Hg and lipids, with an LDL goal of <100 mg/dl, and treatment with anti-platelet agents, the macrovascular complications of diabetes can be reduced [Arauz-Pacheco et al. 2002; Haffner, 1998; Colwell, 1997].”
BackgroundThe role of nutraceuticals in the prevention of cardiovascular disease
Sosnowska, B., Penson, P. E., & Banach, M. (2017) · Cardiovascular Diagnosis and Therapy · doi:10.21037/cdt.2017.03.20 · Cited by 113 · see citing works
“Moreover, patients with diabetes and hypertension have about twice the risk of cardiovascular events as nondiabetic patients with hypertension (83).”
BackgroundTreatment of Hypertension in Adults With Diabetes
(2002) · Diabetes Care · doi:10.2337/diacare.25.1.199 · Cited by 113 · see citing works
Diabetes and Hypertension: Pathogenesis, Prevention and Treatment
Landsberg, L., & Molitch, M. E. (2004) · Clinical and Experimental Hypertension · doi:10.1081/ceh-200031945 · Cited by 111 · see citing works
The case for low carbohydrate diets in diabetes management
Arora, S. K., & McFarlane, S. I. (2005) · Nutrition & Metabolism · doi:10.1186/1743-7075-2-16 · Cited by 102 · see citing works
“The relationship between hypertension and weight loss is well documented [13,74] and weight loss of 1 kilogram has been reported to decrease mean arterial blood pressure by approximately 1 mm Hg.”
Orozco‐Beltrán, D., Gil-Guillén, V. F., Quirce, F., Navarro-Perez, J., Pineda, M., de la Cámara, A. G., Pita, S., Díez‐Espino, J., Mateos, J., Merino, J., et al. (2007) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2007.01367.x · Cited by 93 · see citing works
A predictive model for cerebrovascular disease using data mining
Yeh, D.-Y., Cheng, C., & Chen, Y. (2011) · Expert Systems with Applications · doi:10.1016/j.eswa.2011.01.114 · Cited by 90 · see citing works
A Structured Educational Program Improves Metabolic Control in Patients With Type 2 Diabetes
Scain, S. F., Friedman, R., & Gross, J. L. (2009) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721709336299 · Cited by 89 · see citing works
Rostami, A., Khalili, M., Haghighat, N., Eghtesadi, S., Shidfar, F., Heidari, I., Ebrahimpour‐Koujan, S., & Eghtesadi, M. (2015) · Europe PMC (PubMed Central) · Cited by 85 · see citing works
Probiotics and their Effects on Metabolic Diseases: An Update
Aggarwal, J. (2013) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2012/5004.2701 · Cited by 83 · see citing works
Kabakov, E., Norymberg, C., Osher, E., Koffler, M., Tordjman, K. M., Greenman, Y., & Stern, N. (2006) · Journal of the CardioMetabolic Syndrome · doi:10.1111/j.1559-4564.2006.05513.x · Cited by 80 · see citing works
Schmidt, S., Christensen, M. B., Serifovski, N., Damm‐Frydenberg, C., Jensen, J. B., Fløyel, T., Størling, J., Ranjan, A. G., & Nørgaard, K. (2019) · Diabetes Obesity and Metabolism · doi:10.1111/dom.13725 · Cited by 77 · see citing works
“4) kg/m(2), diabetes duration 19 (13-32) years, HbA1c 58 (55-60) mmol/mol [7.”
Antihypertensive Agents for Primary Prevention of Diabetic Nephropathy
Strippoli, G. F., Craig, M. E., Schena, F. P., & Craig, J. C. (2005) · Journal of the American Society of Nephrology · doi:10.1681/asn.2004080634 · Cited by 78 · see citing works
Grossman, E., & Messerli, F. H. (2008) · KARGER eBooks · doi:10.1159/000115189 · Cited by 76 · see citing works
Effect of Losartan on Microalbuminuria in Normotensive Patients with Type 2 Diabetes Mellitus
Zandbergen, A. A. M., Baggen, M. G. A., Lamberts, S. W. J., Bootsma, A. H., de Zeeuw, D., & Ouwendijk, R. J. T. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-139-2-200307150-00008 · Cited by 73 · see citing works
“The current definition of normotension is a blood pressure less than 140/90 mm Hg, with a blood pressure– lowering target of less than 130/80 mm Hg in hypertensive adults with diabetes mellitus (25, 26); however, we developed the protocol for this study in 1998, when normotension was defined as a sitting blood pressur…”
Diabetes and cardiovascular disease: inter-relation of risk factors and treatment
Sharma, A., Mittal, S., Aggarwal, R., & Chauhan, M. K. (2020) · Future Journal of Pharmaceutical Sciences · doi:10.1186/s43094-020-00151-w · Cited by 71 · see citing works
“in a clinical trial, the sodium intake was reduced from 4600mg to 2300mg [175] -Reduced pressure of blood (systolic approx.”
BackgroundDiabetes knowledge and glycemic control among Chinese people with type 2 diabetes
He, X., & Wharrad, H. J. (2007) · International Nursing Review · doi:10.1111/j.1466-7657.2007.00570.x · Cited by 65 · see citing works
Li, Y., Zhou, J., Huang, K., Sun, Y., & Zeng, X. (2012) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf204118n · Cited by 61 · see citing works
Pérez-Fernández, R., Mariño, A. F., Cadarso-Suárez, C., Botana, M., Tomé, M. A., Solache, I., Iraeta, A. R., & Mato, A. (2007) · Journal of Human Hypertension · doi:10.1038/sj.jhh.1002158 · Cited by 60 · see citing works
Afridi, H. I., Kazi, T. G., Kazi, N. G., Jamali, M. K., Arain, M. B., Jalbani, N. B., Sarfraz, R. A., Shah, A., Kandhro, G. A., Shah, A. Q., et al. (2008) · Biological Trace Element Research · doi:10.1007/s12011-008-8142-7 · Cited by 59 · see citing works
“Furthermore, it has been clearly shown that hypertension in diabetic patients is associated with accelerated progression of both microvascular (retinopathy and nephropathy) and macrovascular (atherosclerotic) complications [5].”
BackgroundAntihypertensive agents for preventing diabetic kidney disease
Strippoli, G. F., Craig, M. E., Craig, J. C., Lv, J., & Perkovic, V. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004136.pub2 · Cited by 59 · see citing works
Schwab, K. O., Doerfer, J., Krebs, A., Krebs, K., Schorb, E., Hallermann, K., Superti‐Furga, A., Zieger, B., März, W., Schmidt‐Trucksäss, A., et al. (2007) · European Journal of Pediatrics · doi:10.1007/s00431-007-0440-0 · Cited by 53 · see citing works
“About one third of type 1 diabetic adults may develop hypertension with advancing duration of diabetes [2].”
BackgroundJackson, J. H., Sobolski, J. C., Krienke, R., Wong, K. S., Frech‐Tamas, F., & Nightengale, B. S. (2008) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2008.06.080025 · Cited by 53 · see citing works
“Because hypertension is a precursor to multiple disease conditions, maintaining blood pressure (BP) control and adherence to goals are imperative to reducing morbidity and mortality, especially in patients with high risk.(2,3) Since its first report in 1977, the Joint National Committee on the Prevention, Detection, E…”
BackgroundMacrovascular angiopathy in children and adolescents with type 1 diabetes
Giannini, C., Mohn, A., Chiarelli, F., & Kelnar, C. J. H. (2011) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.1195 · Cited by 52 · see citing works
Treatment of Hypertension in Adults With Diabetes
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Lifestyle Modification to Improve Blood Pressure Control in Individuals With Diabetes
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“Nearly 60% of adults with diabetes have comorbid hypertension (4,5), and data suggest that when diabetes and hypertension coexist, the risk for cardiovascular events doubles (6).”
BackgroundEffect of telmisartan on cardiovascular complications associated with streptozotocin diabetic rats
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“Hypertension is an extremely common comorbid condition affecting approximately 20–60% of patients with diabetes, depending on obesity, ethnicity, and age [3].”
BackgroundSaleem, T., Mohammad, K. H., Abdel-Fattah, M. M., & Abbasi, A. H. (2008) · Diabetes and Vascular Disease Research · doi:10.3132/dvdr.2008.030 · Cited by 46 · see citing works
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Metabolic Syndrome Pathophysiology
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“Diabetes and HT coexist in approximately 40%–60% of patients with type 2 diabetes.[17,18] Sixty‐five percent patients had a relative or sibling who also suffered from DM.”
BackgroundWang, R., Zhang, P., Li, Z., Lv, X., Cai, H., Gao, C., Song, Y., Yu, Y., Li, B., & Cui, Y. (2019) · Scientific Reports · doi:10.1038/s41598-019-39221-2 · Cited by 43 · see citing works
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“Adequate treatment of hypertension has acquired a major importance in the overall management of individuals with type 2 diabetes (24).”
BackgroundEndothelial dysfunction and hypertension in diabetes mellitus
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“The ADA, the National Kidney Foundation, and JNC VII advocate lowering blood pressure to less than 130/80 mm Hg in patients who have diabetes mellitus [116–118].”
BackgroundPharmacologic management of hypertension in patients with diabetes.
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Management of Blood Pressure in Patients With Diabetes
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“[13] Prescribing Pattern of AHA The average number of antidiabetic drugs per prescription was 0.94 which is less than 2.27 of that previously recorded in India.”
InfluentialCardiovascular disease risk in youth with diabetes mellitus
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Improving Efficacy of Diabetes Management Using Treatment Algorithms in a Mainly Hispanic Population
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Treatment of Hypertension in Adults With Diabetes
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Heart Failure in Diabetes and Related Conditions
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Stroke prevention in diabetes and obesity
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- Authors
- Arauz-Pacheco, C., Parrott, M. A., & Raskin, P.
- Affiliations
- George Washington University (US)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2002-01-01
- Volume
- 25
- Issue
- 1
- Pages
- 134-147
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2138299277
- Cited by
- 326
- References
- 129
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 7 · 2020: 11 · 2019: 8 · 2018: 4 · 2017: 14 · 2016: 14 · 2015: 15 · 2014: 16 · 2013: 12 · 2012: 19
- FWCI
- 4.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- hypertension, diabetes mellitus, antihypertensive therapy, blood pressure control, diabetic nephropathy, diabetic retinopathy, cardiovascular complications, microvascular complications, antihypertensive drug classes
- MeSH terms
- Adult, Diabetic Angiopathies, Female, Humans, Hypertension, Lactation, Pregnancy, Pregnancy in Diabetics, Prevalence
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