Milyen körülményekre kell tekintettel lenni az antihypertensiv terápia megkezdésekor diabetes mellitusban?

Translated title of the contribution: Which factors should be considered at the initiation of antihypertensive treatment in diabetic patients?

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

The treatment of hypertension in diabetic patients due to its high prevalence rate belongs to the everyday clinical practice of internists, diabetologists and general practitioners. The main points of the initiation of antihypertensive treatment in diabetic patients are reviewed. In order to decrease the target organ damages the treatment of early recognized cardiovascular risk factors are of great importance. The target value of antihypertensive treatment in diabetic patients is < 130/80 mmHg (in case of proteinuria > 1g daily: < 125/75 mmHg). The global cardiovascular risk is high or very high in diabetic patients both with grade I-III hypertension and with high normal blood pressure, therefore, treatment with antihypertensive drug (besides life style optimalisation) should be initiated promptly in these cases. In case of micro- or macroalbuminuria antihypertensive drug (mainly with characteristics of blocking the renin-angiotensin-system) should be given to each diabetic subject irrespective of actual blood pressure values. Success of antihypertensive treatment in diabetic patients could be achieved mainly with combination therapy only. It is reasonable to initiate antihypertensive therapy primarily with a low dose combination of two agents in diabetic patients with hypertension.

Translated title of the contributionWhich factors should be considered at the initiation of antihypertensive treatment in diabetic patients?
Original languageHungarian
Pages (from-to)949-956
Number of pages8
JournalOrvosi hetilap
Volume145
Issue number18
Publication statusPublished - May 1 2004

ASJC Scopus subject areas

  • Medicine(all)

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