Abstract

CRESPO MOJENA, Nelson et al. Diabetes mellitus e hipertensión: Estudio en el nivel primario de salud. Rev Cubana Med Gen Integr [online]. 2002, vol.18, n.5, pp. 331-335. ISSN 1561-3038.

Diabetes mellitus and hypertension. Study at the primary health care level Eleven studies conducted among diabetic patients at the primary health care level were reviewed to know the prevalence of arterial hypertension in this series from 1986 to 2000. A total of 1 126 diabetic patients with a prevalence of arterial hypertension of 53.2 % were registered. It is important to stress the presence of albuminuria as a predictive factor of renal damage in 60 diabetic patients at the primary health care level and in 60 diabetic patients at the secondary level, which shows the relation existing between arterial hypertension and the presence of albuminuria at a still reversible stage of renal damage. The foundations of the antihypertensive treatment in diabetic patients are discussed and the use of renin-angiotensin system (RAS) inhibitors is recommended. The treatment is aimed at reducing arterial hypertension to values under 140 x 90 with an ideal of 140 x 80 so as to lower morbimortality from cardiovascular, cerebrovascular and renal disease.

Keywords : DIABETES MELLITUS [complications]; DIABETES MELLITUS NON-INSULIN-DEPENDENT [complications]; HYPERTENSION [drug therapy]; PRIMARY HEALTH CARE; RISK FACTORS.