Why are prone to diabetes, high blood pressure
Posted on October 11, 2009
Filed Under Dilated cardiomyopathy | Leave a Comment
The prevalence of hypertension in patients with diabetes mellitus non-diabetic patients twice, and the prevalence of hypertension in diabetic patients the peak occurred 10 years earlier than normal, but associated with hypertension more likely to have myocardial infarction, cerebrovascular accidents and peripheral vascular disease big and accelerate retinopathy and kidney disease occurrence and development, a fact that has attracted widespread attention.
Why is it prone to diabetes, high blood pressure?
① The disorder of glucose metabolism could accelerate a small renal artery and systemic atherosclerosis, so that peripheral resistance increase in blood pressure.
② High blood sugar can increase blood volume, kidney overload Shuinazhuliu and eventually can cause high blood pressure.
High blood pressure and cardiac output and peripheral resistance related. An increase in cardiac output is not accompanied by changes in peripheral can cause high blood pressure; increased peripheral resistance is not accompanied by changes in cardiac output or blood volume, but also can increase blood pressure and diabetes are the two changes, so will blood pressure the rapid rise and cause serious complications.
On the other hand, high blood pressure can also increase the damage caused by diabetes, including its impact of small blood vessels and kidneys to form a vicious circle, in order to break this vicious circle, we must actively control diabetes, as far as possible to improve the body’s tissues to insulin sensitivity, while It should also effectively control blood pressure, so as to achieve within the normal range, but it should avoid the use of antihypertensive drugs affect the metabolism of insulin, such as the diuretic Hydrochlorothiazide and so on. In addition, proper exercise and weight control high blood pressure and diabetes is also a very important measure. The one hand it can improve the body’s tissues to insulin sensitivity, reduce insulin and other hypoglycemic drug doses; the other hand, mild to moderate hypertension has obvious depressor effect, so diabetic patients with hypertension, should insist on appropriate exercises and control of body weight and other non-drug treatment.
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