Ben-Dov Iddo Z, Bursztyn Michael
Harefuah. 2007 Jan;146(1):26-7, 78-9.
Sleep-associated blood pressure decline (dipping) is decreased in diabetic patients. The cause of this circadian abnormality is probably related to microvascular diabetic complications and the accompanying latent volume overload. The blunting of blood pressure dipping is not a benign phenomenon, as exemplified by its link with augmented left ventricular mass. Thus, blood pressure non-dipping may explain the increased incidence of left ventricular hypertrophy found in diabetic patients, irrespective of office blood pressure.
