Comparison of hypertension control in patients with diabetes and hypertension and patients with hypertension without diabetes depending on the stage of chronic kidney disease
Abstract
Diabetes and hypertension are plagues of the beginning of the 21st century. Both of these conditions lead to significant deterioration in quality of life and reduction of patient’s life expectancy. The aim of the work was to answer the questions: what is the all day, daily and night systolic and diastolic blood pressure in patients with hypertension and in patients with diabetes and hypertension, depending on the stage of chronic kidney disease, and whether there are significant differences in the control of day and night systolic and diastolic blood pressure between the patients with diabetes mellitus and hypertension. 300 patients have been admitted to the Department of Internal Diseases, Diabetology and Nephrology due to hypertension decompensation. In the first place all subjects were divided into two groups: the ones with diabetes and hypertension and patients with hypertension but without diabetes. Afterwards the patients were divided in 5 subgroups depending on the stage of chronic kidney disease. It was shown that patients with diabetes and hypertension are significantly less likely to have their blood pressure controlled properly (24 hours a day, during the day and at night) in relation to patients with hypertension without diabetes and that, with increased renal failure, diabetes and hypertension and hypertensive patients without diabetes do not have good blood pressure control, especially for diabetics and hypertension. (Clin Diabetol 2017; 6, 3: 81–89)
Keywords: diabeteshypertensionkidney failureequalization
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