Concise review for primary-care physicians a practical guideline for management of hypertension in patients with diabetes

Vahab Fatourechi, Frank P. Kennedy, Robert A. Rizza, Michael J. Hogan

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Hypertension is common in patients with non-insulindependent diabetes mellitus and is also an early sign of diabetic nephropathy in those with insulin-dependent diabetes. Hypertension contributes to the progression of both macrovascular disease and nephropathy in patients with diabetes. Certain antihypertensive agents can adversely affect carbohydrate and lipid metabolism. Angiotensin-converting enzyme inhibitors and calcium channel blockers may slow the progression of renal complications in patients with diabetes. The pharmacologie approaches to treatment of hypertension in patients with diabetes potentially dif-fer from those in nondiabetic persons. On the basis of a review of the recent literature related to antihypertensive therapy for patients with diabetes, we describe an empiric approach to treatment of hypertension in such patients. The proposed approach must be modified as new data from randomized clinical trials become available.

Original languageEnglish (US)
Pages (from-to)53-58
Number of pages6
JournalMayo Clinic Proceedings
Volume71
Issue number1
StatePublished - 1996

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Primary Care Physicians
Guidelines
Hypertension
Antihypertensive Agents
Carbohydrate Metabolism
Calcium Channel Blockers
Diabetic Nephropathies
Lipid Metabolism
Angiotensin-Converting Enzyme Inhibitors
Diabetes Mellitus
Therapeutics
Randomized Controlled Trials
Insulin
Kidney

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Concise review for primary-care physicians a practical guideline for management of hypertension in patients with diabetes. / Fatourechi, Vahab; Kennedy, Frank P.; Rizza, Robert A.; Hogan, Michael J.

In: Mayo Clinic Proceedings, Vol. 71, No. 1, 1996, p. 53-58.

Research output: Contribution to journalArticle

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