open access

Vol 18, No 4 (2014)
REVIEV
Published online: 2015-03-25
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Arterial hypertension in children with type 1 diabetes

Małgorzata Myśliwiec, Agnieszka Szadkowska, Mieczysław Szalecki, Marta Buraczewska, Mieczysław Litwin
Nadciśnienie tętnicze 2014;18(4):237-242.

open access

Vol 18, No 4 (2014)
REVIEV
Published online: 2015-03-25

Abstract

Arterial hypertension is a main risk factor of cardiovascular, renal and microvascular complications in diabetes. It is estimated that arterial hypertension is more prevalent among type 1 diabetic children than in general pediatric population. Arterial wall injury caused by hyperglycemia and subclinical diabetic kidney disease play a role in pathogenesis of arterial hypertension in diabetic children. Overweight and secondary insulin resistance are other factors playing role in pathogenesis of arterial hypertension. Recent guidelines recommend to perform regular blood pressure measurements and to start early antihypertensive treatment. Antihypertensive treatment in diabetic children should be based on inhibitors of converting enzyme or, in case of intolerance, blockers of angiotensin II receptor.

Abstract

Arterial hypertension is a main risk factor of cardiovascular, renal and microvascular complications in diabetes. It is estimated that arterial hypertension is more prevalent among type 1 diabetic children than in general pediatric population. Arterial wall injury caused by hyperglycemia and subclinical diabetic kidney disease play a role in pathogenesis of arterial hypertension in diabetic children. Overweight and secondary insulin resistance are other factors playing role in pathogenesis of arterial hypertension. Recent guidelines recommend to perform regular blood pressure measurements and to start early antihypertensive treatment. Antihypertensive treatment in diabetic children should be based on inhibitors of converting enzyme or, in case of intolerance, blockers of angiotensin II receptor.

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Keywords

arterial hypertension, children, type 1 diabetes mellitus

About this article
Title

Arterial hypertension in children with type 1 diabetes

Journal

Arterial Hypertension

Issue

Vol 18, No 4 (2014)

Pages

237-242

Published online

2015-03-25

Bibliographic record

Nadciśnienie tętnicze 2014;18(4):237-242.

Keywords

arterial hypertension
children
type 1 diabetes mellitus

Authors

Małgorzata Myśliwiec
Agnieszka Szadkowska
Mieczysław Szalecki
Marta Buraczewska
Mieczysław Litwin

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