
The prevalence of hypertension and microalbuminuria in diabetes mellitus type 1 and type 2
Author(s) -
Olga Vasović,
M. Zamaklar,
K. Lalić,
Predrag Milošević,
Ljiljana Žikić,
Ljiljana Popović
Publication year - 2005
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh0506229v
Subject(s) - microalbuminuria , medicine , blood pressure , body mass index , diabetes mellitus , type 2 diabetes mellitus , proteinuria , diabetic nephropathy , nephropathy , incidence (geometry) , left ventricular hypertrophy , insulin resistance , obesity , endocrinology , coronary artery disease , cardiology , kidney , physics , optics
The prevalence of hypertension is two times higher in diabetics than in non-diabetics. In type 1 diabetes mellitus (T1DM), the incidence of hypertension is similar to the incidence of nephropathy. In obese patients with type 2 DM (T2DM) there can be associated complications of hyperinsulinaemia, dyslipidaemia, and hypertension, which can lead to coronary artery disease and stroke. These associated complications are the result of a genetic defect that produces insulin resistance--Syndrome X. Increased microalbuminuria correlates with increased levels of blood pressure (BP) and increased LDL cholesterol, and this is why microalbuminuria is associated with an increase in cardiovascular deaths in diabetics, even in the absence of renal failure.