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Cardiovascular Health
High blood pressure in Diabetic Patients
Blood pressure should be less than 130/85 mm Hg in a diabetic
patient.
Any Blood pressure value above 130/85 is causing damage to
the body and must be treated effectively.
Hypertension occurs much more frequently in patients with
diabetes.
Hypertension, diabetes, obesity and high cholesterol usually
occur together in the same patient or in the same family and
are manifestations of basically one disease process called
"Insulin Resistance Syndrome" or IRS.
Uncontrolled diabetes, uncontrolled hypertension and a high
cholesterol level are major causes for the following complications.
- Heart attack
- Kidney failure requiring dialysis
- Stroke
- Poor circulation in the legs which can lead to amputation
of legs
- Narrowing of the arteries throughout the body, causing
symptoms such as impotence, heart failure and dementia
- Hypertension in a diabetic patient must be treated
aggressively, with medication in addition to dietary salt
reduction and weight reduction
Drugs to control Hypertension
- ACE-inhibitors
- Angiotensin 2 receptor blockers (ARB)
- Calcium Channel Blockers
- Diuretics
- Alphablockers
- Clonidine
- Methyldopa
- Beta blockers
- Peripheral vasodialators
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