Jayakumar R V
Amrita Institute of Medical Sciences, Cochin.
J Indian Med Assoc. 2003 Apr;101(4):254-6.
Hypertension is extremely common in patients with diabetes mellitus. In type 1 diabetes it usually signifies the onset of nephropathy. Tight control of hypertension in diabetes has shown to decrease the complications like ischaemic heart disease and renal failure thereby reducing the morbidity and mortality. Management of hypertension in diabetes include weight reduction, dietary restriction of sodium, adequate intake of potassium and calcium, regular exercise, cessation of smoking and drug therapy. Many type 2 diabetic patients require more than one drug for good blood pressure control. Even though many of the hypotensive drugs are effective in diabetic patients, ACE inhibitors have an edge over the other drugs in view of its favourable effect on the accompanying co-morbid conditions.
高血压在糖尿病患者中极为常见。在1型糖尿病中，它通常预示着肾病的发作。糖尿病患者严格控制高血压已显示可减少诸如缺血性心脏病和肾衰竭等并发症，从而降低发病率和死亡率。糖尿病患者高血压的管理包括减轻体重、限制钠的饮食摄入、充足摄入钾和钙、定期锻炼、戒烟以及药物治疗。许多2型糖尿病患者需要不止一种药物来良好控制血压。尽管许多降压药对糖尿病患者有效，但鉴于血管紧张素转换酶抑制剂（ACE抑制剂）对伴随的合并症有有利影响，它比其他药物更具优势。
