Record 1 of 1 - MEDLINE EXPRESS (R) 1996-1998

TI: How far should blood pressure be reduced in diabetic hypertensive patients?

AU: Ruilope-LM; Garcia-Robles-R

AD: Hypertension Unit, Hospital 12 de Octubre, Madrid, Spain.

SO: J-Hypertens-Suppl. 1997 Mar; 15(2): S63-5

ISSN: 0952-1178

PY: 1997

LA: ENGLISH

CP: ENGLAND

AB: EPIDEMIOLOGY OF DIABETES: Diabetes mellitus and arterial hypertension are closely related diseases that strongly predispose an individual to atherosclerotic cardiovascular disease and to renal failure. High blood pressure is twice as frequent in diabetics compared with the general population, and often precedes and contributes to the development of diabetic nephropathy. The prevalence of coexisting arterial hypertension and non-insulin-dependent diabetes mellitus (NIDDM) is increasing as populations age, giving an increased prevalence of both diseases. TREATMENT OF HYPERTENSIVE DIABETIC PATIENTS: The goal of treating arterial hypertension in diabetic patients is to prevent death and disability associated with high blood pressure. In addition, other reversible risk factors for cardiovascular disease, seen so frequently in hypertensive diabetics, also need to be addressed. The optimal goal of blood pressure control in diabetics has not been established, but there are indications that it should be lower than the 130/85 mmHg systolic/diastolic pressure recommended by current guidelines. In the presence of multiple associated risk factors, most guidelines suggest a threshold for intervention of > or = 140/90 mmHg. In particular, in hypertensive diabetic patients intervention must be early and aggressive.

MESH: Diabetes-Mellitus-complications; Diabetes-Mellitus-physiopathology; Hypertension-complications; Hypertension-physiopathology; Risk-Factors

MESH: *Blood-Pressure; *Diabetes-Mellitus; *Hypertension-

TG: Human

PT: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL

AN: 1997361307

UD: 199710