Chapter 47

Hypertension and Diabetes

Peter M. Nilsson

Peter M. Nilsson

Lund University, Skåne University Hospital, Malmö, Sweden

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First published: 12 January 2024

Summary

Hypertension often accompanies both type 1 diabetes and type 2 diabetes. Hypertension is important because, like diabetes, it is a major cardiovascular risk factor and one that synergizes with the deleterious effects of diabetes. It is also a risk factor for microvascular complications, namely nephropathy and retinopathy. Hypertension is important because, like diabetes, it is a major cardiovascular risk factor and one that synergizes with the deleterious effects of diabetes. It is also a risk factor for microvascular complications, namely nephropathy and retinopathy. Hypertension also predisposes to the development of certain microvascular complications, particularly nephropathy and end stage renal disease, for which the risk is increased two- to threefold. Blood pressure should be measured with the individual in the supine or sitting position, with an accurate sphygmomanometer and a cuff of appropriate size. The treatment of hypertension in people with diabetes must be based on structured lifestyle intervention.

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