Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature Review
Hypertension and type 2 diabetes mellitus are often combined and mutually enhance the adverse effect on vascular and renal prognosis. Hypertension is present in about 50 % of patients with type 2 diabetes, and diabetes, in turn, is detected in about 20 % of people with hypertension. The risk of deve...
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| Format: | Article |
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SINAPS LLC
2024-01-01
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| author | G. A. Ignatenko A. E. Bagriy A. V. Prikolota O. A. Prikolota E. S. Mykhailichenko I. A. Arshavskaya K. E. Mogilevskaya |
| author_facet | G. A. Ignatenko A. E. Bagriy A. V. Prikolota O. A. Prikolota E. S. Mykhailichenko I. A. Arshavskaya K. E. Mogilevskaya |
| author_sort | G. A. Ignatenko |
| collection | DOAJ |
| description | Hypertension and type 2 diabetes mellitus are often combined and mutually enhance the adverse effect on vascular and renal prognosis. Hypertension is present in about 50 % of patients with type 2 diabetes, and diabetes, in turn, is detected in about 20 % of people with hypertension. The risk of developing hypertension in patients with type 2 diabetes is 2-2.5 times higher than in people without diabetes; the presence of hypertension increases the risk of type 2 diabetes by the same number of times. Hypertension and diabetes mutually burden each other: on the one hand, the presence of hypertension significantly increases the likelihood of developing diabetic macro- and microvascular complications (including diabetic nephropathy and retinopathy); on the other hand, type 2 diabetes, as a classic independent cardiovascular risk factor, increases the risk of complications inherent in hypertension by about 2 times Careful treatment of diabetes with maintenance of target values of glycemia for a long time may be associated with a decrease in the likelihood of developing hypertension by 24 % compared with less adequate control of glycemia. Hypertension in type 2 diabetes may have a number of features that distinguish such patients from the general population of people with hypertension. Such features include a higher proportion of isolated systolic hypertension and resistant hypertension, certain types of circadian rhythm disorders of blood pressure (categories “non-dipper” and “night-peaker”), frequent combination with albuminuria, frequent high salt sensitivity and volume-dependent nature of hypertension, and others. |
| format | Article |
| id | doaj-art-2eb39d3d7e6a45c79c6a32fc28c058c2 |
| institution | Matheson Library |
| issn | 2226-6704 2411-6564 |
| language | Russian |
| publishDate | 2024-01-01 |
| publisher | SINAPS LLC |
| record_format | Article |
| series | Архивъ внутренней медицины |
| spelling | doaj-art-2eb39d3d7e6a45c79c6a32fc28c058c22025-08-04T14:09:49ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642024-01-0113643644810.20514/2226-6704-2023-13-6-436-448969Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature ReviewG. A. Ignatenko0A. E. Bagriy1A. V. Prikolota2O. A. Prikolota3E. S. Mykhailichenko4I. A. Arshavskaya5K. E. Mogilevskaya6Federal State Budgetary Educational Institution of Higher Education «M. Gorky Donetsk State Medical University» of the Ministry of Health of the Russian FederationFederal State Budgetary Educational Institution of Higher Education «M. Gorky Donetsk State Medical University» of the Ministry of Health of the Russian FederationFederal State Budgetary Educational Institution of Higher Education «M. Gorky Donetsk State Medical University» of the Ministry of Health of the Russian FederationFederal State Budgetary Educational Institution of Higher Education «M. Gorky Donetsk State Medical University» of the Ministry of Health of the Russian FederationFederal State Budgetary Educational Institution of Higher Education «M. Gorky Donetsk State Medical University» of the Ministry of Health of the Russian FederationFederal State Budgetary Educational Institution of Higher Education «M. Gorky Donetsk State Medical University» of the Ministry of Health of the Russian FederationFederal State Budgetary Educational Institution of Higher Education «M. Gorky Donetsk State Medical University» of the Ministry of Health of the Russian FederationHypertension and type 2 diabetes mellitus are often combined and mutually enhance the adverse effect on vascular and renal prognosis. Hypertension is present in about 50 % of patients with type 2 diabetes, and diabetes, in turn, is detected in about 20 % of people with hypertension. The risk of developing hypertension in patients with type 2 diabetes is 2-2.5 times higher than in people without diabetes; the presence of hypertension increases the risk of type 2 diabetes by the same number of times. Hypertension and diabetes mutually burden each other: on the one hand, the presence of hypertension significantly increases the likelihood of developing diabetic macro- and microvascular complications (including diabetic nephropathy and retinopathy); on the other hand, type 2 diabetes, as a classic independent cardiovascular risk factor, increases the risk of complications inherent in hypertension by about 2 times Careful treatment of diabetes with maintenance of target values of glycemia for a long time may be associated with a decrease in the likelihood of developing hypertension by 24 % compared with less adequate control of glycemia. Hypertension in type 2 diabetes may have a number of features that distinguish such patients from the general population of people with hypertension. Such features include a higher proportion of isolated systolic hypertension and resistant hypertension, certain types of circadian rhythm disorders of blood pressure (categories “non-dipper” and “night-peaker”), frequent combination with albuminuria, frequent high salt sensitivity and volume-dependent nature of hypertension, and others.https://www.medarhive.ru/jour/article/view/1692type 2 diabetes mellitusarterial hypertensionisolated systolic arterial hypertensionresistant arterial hypertension |
| spellingShingle | G. A. Ignatenko A. E. Bagriy A. V. Prikolota O. A. Prikolota E. S. Mykhailichenko I. A. Arshavskaya K. E. Mogilevskaya Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature Review Архивъ внутренней медицины type 2 diabetes mellitus arterial hypertension isolated systolic arterial hypertension resistant arterial hypertension |
| title | Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature Review |
| title_full | Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature Review |
| title_fullStr | Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature Review |
| title_full_unstemmed | Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature Review |
| title_short | Epidemiology and Clinical Features of Arterial Hypertension in Patients with Type 2 Diabetes Mellitus. Literature Review |
| title_sort | epidemiology and clinical features of arterial hypertension in patients with type 2 diabetes mellitus literature review |
| topic | type 2 diabetes mellitus arterial hypertension isolated systolic arterial hypertension resistant arterial hypertension |
| url | https://www.medarhive.ru/jour/article/view/1692 |
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