Prevalence of hypertension in Type 1 (insulin-dependent) diabetes mellitus
| العنوان: | Prevalence of hypertension in Type 1 (insulin-dependent) diabetes mellitus |
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| المؤلفون: | H Saelan, Bo Feldt-Rasmussen, Knut Borch-Johnsen, Kirsten Nørgaard, T Deckert |
| المصدر: | Diabetologia. 33:407-410 |
| بيانات النشر: | Springer Science and Business Media LLC, 1990. |
| سنة النشر: | 1990 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, Endocrinology, Diabetes and Metabolism, Population, Blood Pressure, Essential hypertension, Gastroenterology, Nephropathy, Diabetic nephropathy, Sex Factors, Diabetes mellitus, Internal medicine, Prevalence, Internal Medicine, medicine, Albuminuria, Humans, education, Retrospective Studies, Type 1 diabetes, education.field_of_study, Diabetic Retinopathy, business.industry, Age Factors, Middle Aged, medicine.disease, Diabetes Mellitus, Type 1, Endocrinology, Blood pressure, Hypertension, Female, medicine.symptom, business |
| الوصف: | The prevalence of hypertension in a representative sample (n = 10202) of the Danish general population aged 16-59 years was assessed to 4.4% based on three blood pressure readings. In Type 1 (insulin-dependent) diabetic patients of similar age (n = 1703) the prevalence was determined in a similar way to 14.7% (p less than 0.00001). The excess prevalence in Type 1 diabetic patients was due to hypertension in patients with incipient and clinical nephropathy as the prevalence of hypertension among diabetic patients with normal urinary albumin excretion (essential hypertension) was 3.9%, similar to that observed in the general population. The patients with Type 1 diabetes and essential hypertension had higher systolic (146 +/- 19 vs 133 +/- 18 mm Hg, p less than 0.00001) and diastolic blood pressure (87 +/- 12 vs 79 +/- 7 mm Hg, p less than 0.00001), but less changes in the eye background than patients with incipient nephropathy (urinary albumin excretion 30-300 mg/24 h) (p less than 0.03), indicating that the two groups were also different with respect to other microangiopathic lesions. Patients with essential hypertension were defined as having a normal urinary albumin excretion before and during antihypertensive treatment (if any). They were followed-up for a 58 (6-234) month period. We confirmed that hypertension is more common among Type 1 diabetic patients than in the general population and found the prevalence of essential hypertension similar in Type 1 diabetic patients to the non-diabetic population. This supports our hypothesis that hypertension is very unlikely to be the cause of diabetic nephropathy. |
| تدمد: | 1432-0428 0012-186X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1540bb3f52bf3b30226578f724cfdd82Test https://doi.org/10.1007/bf00404089Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1540bb3f52bf3b30226578f724cfdd82 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14320428 0012186X |
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