Compared with non-diabetic patients, diabetic patients with hypertension should be higher than the rate of 1.5-2 times. Diabetes, high blood pressure on the heart, brain and kidney damage lofty Stem simple or simple diabetic patients with essential hypertension. Therefore, the World Health Organization 1999 International Society of Hypertension guidelines on the treatment of hypertension provides: hypertensive patients with diabetes who are designated as high risk or very high-risk groups, once discovered, must immediately take antihypertensive medication, blood pressure control desired level.
For each patient, a diabetic with hypertension, particularly diabetes has more than 5 years or high blood sugar levels and gestational diabetes, should pay attention to understand the risk of cardiovascular disease, particularly the damage to the kidneys and eyes . Patients should be regularly checked fundus and urinary albumin. For the duration of hypertension before diabetes should pay attention to the situation of cardiac involvement must be regular ECG, echocardiography and other tests to confirm the diagnosis.
Hypertensive patients with diabetes on how to choose antihypertensive drugs? Currently accepted should be used in diabetic hypertensive patients angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers. These drugs not only lower blood pressure, as well as protection of renal function, the role reversal of kidney damage. However, due to blood pressure in hypertensive patients with diabetes with a blood pressure medication is often difficult to control to the desired level, and thus should be considered in combination.
Calcium antagonists on renal function in hypertensive patients with diabetes has a protective effect, especially with angiotensin converting enzyme inhibitors in combination can be the ideal blood pressure control, while its blood glucose and lipid metabolism are not adversely affected, so for in hypertensive patients with diabetes.
Α1 blockers without adverse effects on blood sugar, can lower serum total cholesterol, triglycerides and very low density lipoproteins, raise high-density lipoprotein, very suitable for hypertensive patients with diabetes.
Thiophene small dose of hydrochlorothiazide in urine to maintain renal function through the diuretic, and no significant blood glucose and lipid metabolism, and therefore suitable for hypertensive patients with diabetes. Only high-dose diuretics and non-selective β-blocker easily lead to blood sugar, blood lipid metabolism disorder, so it is not appropriate for some drugs in hypertensive patients with diabetes.
New research shows that diabetic patients with hypertension control in 80mmHg diastolic blood pressure when the heart, brain and kidney to reduce damage and improve the prevention of cardiovascular disease than the control when the 90mmHg twice as good. Therefore, blood pressure or diabetes control in a lower level best. Experts suggest that systolic blood pressure should be controlled at 120mmHg, diastolic blood pressure controlled at 80mmHg or less.
For each patient, a diabetic with hypertension, particularly diabetes has more than 5 years or high blood sugar levels and gestational diabetes, should pay attention to understand the risk of cardiovascular disease, particularly the damage to the kidneys and eyes . Patients should be regularly checked fundus and urinary albumin. For the duration of hypertension before diabetes should pay attention to the situation of cardiac involvement must be regular ECG, echocardiography and other tests to confirm the diagnosis.
Hypertensive patients with diabetes on how to choose antihypertensive drugs? Currently accepted should be used in diabetic hypertensive patients angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers. These drugs not only lower blood pressure, as well as protection of renal function, the role reversal of kidney damage. However, due to blood pressure in hypertensive patients with diabetes with a blood pressure medication is often difficult to control to the desired level, and thus should be considered in combination.
Calcium antagonists on renal function in hypertensive patients with diabetes has a protective effect, especially with angiotensin converting enzyme inhibitors in combination can be the ideal blood pressure control, while its blood glucose and lipid metabolism are not adversely affected, so for in hypertensive patients with diabetes.
Α1 blockers without adverse effects on blood sugar, can lower serum total cholesterol, triglycerides and very low density lipoproteins, raise high-density lipoprotein, very suitable for hypertensive patients with diabetes.
Thiophene small dose of hydrochlorothiazide in urine to maintain renal function through the diuretic, and no significant blood glucose and lipid metabolism, and therefore suitable for hypertensive patients with diabetes. Only high-dose diuretics and non-selective β-blocker easily lead to blood sugar, blood lipid metabolism disorder, so it is not appropriate for some drugs in hypertensive patients with diabetes.
New research shows that diabetic patients with hypertension control in 80mmHg diastolic blood pressure when the heart, brain and kidney to reduce damage and improve the prevention of cardiovascular disease than the control when the 90mmHg twice as good. Therefore, blood pressure or diabetes control in a lower level best. Experts suggest that systolic blood pressure should be controlled at 120mmHg, diastolic blood pressure controlled at 80mmHg or less.
No comments:
Post a Comment