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Revista Cubana de Medicina General Integral
Print version ISSN 0864-2125On-line version ISSN 1561-3038
Abstract
YANES QUESADA, Miguel Ángel et al. Some considerations related to arterial high blood pressure in Type 2 diabetes mellitus. Rev Cubana Med Gen Integr [online]. 2009, vol.25, n.3. ISSN 0864-2125.
Authors made a review of the topic related to arterial high blood pressure in the patient presenting with Type 2 diabetes mellitus to update some particular elements in this group of patients. We propose that its prevalence is higher than that present in non-diabetic population, where the hyperinsulinism and the endothelial dysfunction have a leading role in its ethiopathogenesis. The arterial high blood pressure in these patients clinically is manifested as a non-dipper pattern increasing the morbidity and mortality. Drug therapy is commonly necessary and as first line-drugs are used the converting-enzyme inhibitors, the agiotensin-II receptors antagonists, and the antagonists-calcium, although the low-dose thiacidic diuretics.
Keywords : Arterial high blood pressure (HBP); type 2 diabetes mellitus.