High blood pressure (hypertension) can lead to many complications of diabetes, including diabetic eye disease and
kidney disease, or make them worse. Most people with diabetes will eventually have high blood pressure, along with other heart and circulation problems. Diabetes damages arteries and makes them targets
for hardening, called atherosclerosis. That can cause high blood pressure, which if not treated, can lead to trouble including blood vessel damage, heart attack, and kidney failure. Compared to those with normal
blood pressure readings, people with hypertension more often have: Even blood pressure that's at the higher end of normal (120/80 to 129/80), called elevated, impacts your health. Studies show that you have a two to three times greater chance of getting heart disease over 10 years. Readings vary, but most people with diabetes should have a blood pressure of no more than 130/80. The first, or top, number is the "systolic pressure," or the pressure in your arteries when your heart squeezes and fills the vessels with
blood. The second, or bottom, number is the "diastolic pressure," or the pressure in your arteries when your heart rests between beats, filling itself with blood for the next contraction. When it comes to preventing diabetes complications, normal
blood pressure is as important as good control of your blood sugar levels. Usually, high blood pressure has no symptoms. That's why you need to check your blood pressure regularly. Your doctor will probably measure it at every visit, and you may need to check it at home, too. Many of the things you do for your diabetes
will also help with high blood pressure: Most doctors use ACE inhibitors (angiotensin converting enzyme inhibitors) and ARBs (angiotensin II receptor blockers) first. Although other medications treat high blood pressure, these also prevent or slow kidney disease in
people with diabetes. Some blood pressure drugs may make your blood sugar and lipid levels worse. Blood pressure medicines can also cause erectile dysfunction. Find out from your doctor what your prescribed medicines might do. Other drugs known commonly as "water pills" or diuretics help your body get rid of extra fluid.
The relationship of blood pressure with glucose, insulin, heart rate, free fatty acids and plasma cortisol levels according to degree of obesity in middle-aged menJ Filipovský et al. J Hypertens. 1996 Feb. AbstractObjective: To investigate the relationships of blood pressure with carbohydrate metabolism, sympathetic activity and cortisol at different levels of body mass index in middle-aged men. Methods: Cross-sectional data concerning men studied in the Paris Prospective Study I were analysed. The cohort included 6424 subjects aged 40-53 years at entry, who were not being treated for hypertension or diabetes and had no overt heart disease. The parameters analysed were glucose, insulin and free fatty acids levels, all assessed during fasting by the subject and 2 h after a 75 g glucose load, resting heart rate and morning plasma cortisol levels. Results: Subjects with systolic blood pressure > or = 160 mmHg had significantly higher glucose concentrations at any body mass index level whereas the difference in insulin levels between the subjects with and without high systolic blood pressure increased with body mass index. Heart rate, free fatty acids level and cortisol level were significantly higher in men with high systolic blood pressure. However, these parameters showed significant decreasing trends with body mass index. In normotensives, no such trends were observed. When analysing data according to diastolic blood pressure, the limit being 95 mmHg, similar results were obtained for glucose and insulin levels, but no trend in heart rate, free fatty acids level and cortisol level with the body mass index level was statistically significant. Conclusions: Mean glucose concentrations are higher in hypertensive men at all body mass index levels, whereas relative hyperinsulinaemia is present only in the more corpulent hypertensives. Heart rate, free fatty acids level and morning plasma cortisol level are elevated in hypertensive subjects at any body mass index level, but particularly in the lean ones with high systolic blood pressure. Similar articles
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Is blood sugar and blood pressure related?High blood glucose levels can cause widespread damage to tissues and organs, including those that play a key role in maintaining healthy blood pressure. For example, damage to the blood vessels and kidneys can cause blood pressure to rise.
What is the difference between sugar level and blood pressure?The same is true if the blood sugar goes too low; the catecholamine response is the first thing that the body uses to compensate, and this will raise blood pressure in the aftermath. This is how low blood sugar or low blood pressure can cause the other to go high.
Is diabetes and blood pressure same?In fact, a person with diabetes and high blood pressure is four times as likely to develop heart disease than someone who does not have either of the conditions. About two-thirds of adults with diabetes have blood pressure greater than 130/80 mm Hg or use prescription medications for hypertension.
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