Diagnosis and treatment of hypertension in patients with diabetes

Marzena Chrostowska; Radosław Szczęch; Krzysztof Strojek; Krzysztof Narkiewicz

ISSN: 1505-8409

Przewodnik Lekarza/Guide for GPs

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3/2006
vol. 9

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abstract:

Diagnosis and treatment of hypertension in patients with diabetes

Marzena Chrostowska

,

Radosław Szczęch

,

Krzysztof Strojek

,

Krzysztof Narkiewicz

Przew Lek 2006; 3: 40-50

Online publish date: 2006/05/04

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Successful antihypertensive treatment plays a major role in prevention of cardiovascular events in patients with diabetes. Pharmacotherapy should be initiated in all patients with blood pressure exceeding 130/85 mmHg. Inhibition of renin-angiotensin system remains a primary goal of antihypertensive treatment, especially in case of co-existing diabetic nephropathy. In order to achieve blood pressure control (below 130/80 mmHg), vast majority of the patients would require three or more antihypertensive drugs. Blood pressure control results in greater benefits in diabetics than in patients with normal glucose tolerance. In addition to blood pressure and glucose control, other cardiovascular risk factors should also be aggressively managed.

keywords:

Diagnosis and treatment of hypertension in patients with diabetes

Marzena Chrostowska , Radosław Szczęch , Krzysztof Strojek , Krzysztof Narkiewicz

diabetes, hypertension, cardiovascular risk, therapy

Marzena Chrostowska

,

Radosław Szczęch

,

Krzysztof Strojek

,

Krzysztof Narkiewicz