Hypertension and Diabetes
Peter M. Nilsson
Lund University, Skåne University Hospital, Malmö, Sweden
Search for more papers by this authorPeter M. Nilsson
Lund University, Skåne University Hospital, Malmö, Sweden
Search for more papers by this authorRichard I.G. Holt MA, MB BChir, PhD, FRCP, FHEA
Professor in Diabetes & Endocrinology Faculty of Medicine Honorary Consultant Physician
Human Development and Health
University of Southampton, Southampton, UK
Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK
Search for more papers by this authorAllan Flyvbjerg MD, DMSc
Former CEO at Steno Diabetes Center Copenhagen (SDCC) Professor of Clinical Endocrinology
The Capital Region of Denmark
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Search for more papers by this authorSummary
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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