Monday 11 March 2013

Diabetes and hypertension


Diabetes and hypertension

Increased incidence and prevalence of type 2 diabetes, according to forecasts, $ 1.71 billion in the 1, 2, the total number of people with diabetes rose to $ 366 million in 2000-2030. The number of adults with hypertension is expected to increase by 60% by 2025, a total of 1.56 million people. Hypertension affects about 70% of patients with diabetes is twice the coexistence of different ethnic, racial and social without.3 those people with diabetes, the prevalence of hypertension and diabetes in the same. Hypertension in diabetic patients, most importantly, result in a significant increase in the population at risk of vascular complications, and together these two conditions are predisposed to chronic renal disease and 5 overlap between blood pressure and diabetes, Essentially, the increase in ischemic cerebrovascular disease, the risk of sexual dysfunction.6 retinopathy and diabetes is an independent risk factor for coronary artery disease, a significant increase in the risk of hypertension exists.
Diabetic nephropathy is the most common cause of diabetes, high blood pressure in patients with type 1 diabetes. Patients with type 2 diabetes can develop hypertension renal disease, usually without renal dysfunction, often with central obesity. Insulin resistance and diabetes can induce hypertension by stimulating the sympathetic nervous system and the renin - angiotensin system, promote sodium retention. Increased diabetes associated with the proliferation of vascular smooth muscle cells. Blood sugar and high blood pressure, damage to vascular endothelial cells, resulting in increased oxidative stress. Diabetic patients have increased vascular reactivity.
The issue of diabetes and hypertension, the theme is the importance of a free online network collection has been compiled ...
Hypertension and diabetes should be early diagnosis, aggressive treatment to prevent microvascular and macrovascular disease and morbidity mortality.7-11 UK Prospective Diabetes Study showed that controlling blood pressure helps prevent cardiovascular patients with type 2 diabetes: 12.13 each 12% reduction in risk, 15% reduction in diabetes-related deaths, a 11% reduction in myocardial infarction, a decrease of 13%, the microvascular complications diabetes and its complications mean systolic blood pressure fell by 10 mm Hg. The Heart Outcomes Prevention Evaluation study showed that inhibition of angiotensin converting enzyme in patients with type 2 diabetes, reduce the risk of vascular complications.14 drug treatment in the management of these patients, but the important part of the Changes in lifestyle and weight, to reduce blood glucose and blood pressure control.
Specific subsets, can cause high blood pressure and diabetes risk. The risk of diabetes and high blood pressure in pregnant women with preeclampsia. Type 1 diabetes and hypertension, the disease of children are particularly vulnerable organ. Children increased incidence of type 2 diabetes is a concern, because the risk factors for cardiovascular disease in early life can cause atherosclerosis accelerated aging.
In addition to substantial health care costs in clinical care, quality of life and public health, diabetes and high blood pressure have a significant impact. Convincing evidence connected to the association and interaction of these diseases and pathological conditions, suggesting that the clinical understanding. The important issue is the issue of collection of diabetes and hypertension in a free online website has been compiled, Nature Publishing Group, published articles. This supplemental information in the form of a list of references cited in this article in the journal Nature Clinical Practice Endocrinology and Metabolism website.

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