Behradmanesh Saeed, Nasri Hamid
Medical Plants Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Department of Nephrology, Division of Nephropathology, Isfahan University of Medical Sciences, Isfahan, Iran.
J Nephropathol. 2013 Oct;2(4):254-7. doi: 10.12860/JNP.2013.40. Epub 2013 Oct 1.
Hypertension and diabetes are two common diseases and they affect the same major target organs.
In this study, we sought to investigate the probable association of serum calcium with levels of systolic and blood pressure in a group of type 2 diabetic (T2D) patients.
A total of 60 patients with T2D were enrolled to the study. To determine serum creatinine, calcium and hemoglobin A1c (HbA1c), venous blood samples were obtained in the fasting state.
Among 60 participants, 56.7% were female. Mean of ages was 57±8.3 years. Mean of systolic and diastolic blood pressure were 133±13 mmHg and 84±7.4 mmHg, respectively. Mean of serum calcium was 9.0±0.4 mg/dl. In this study, there was no significant difference of serum calcium and HbA1c between males and females. A significant inverse correlation of serum calcium with level of diastolic blood pressure (r= -0.261, p=0.046) was seen (adjusted for duration of diabetes). Moreover, a negative correlation of systolic blood pressure with level of serum calcium was existed, however, this correlation was not significant (r= -0.232, p=0.080) [adjusted for duration of diabetes].
We found a significant inverse correlation of serum calcium with level of diastolic blood pressure. We propose to more attention to serum calcium during the treatment of hypertension in diabetic patients.
高血压和糖尿病是两种常见疾病,它们影响相同的主要靶器官。
在本研究中,我们试图调查一组2型糖尿病(T2D)患者血清钙与收缩压和舒张压水平之间可能存在的关联。
共60例T2D患者纳入本研究。为测定血清肌酐、钙和糖化血红蛋白(HbA1c),在空腹状态下采集静脉血样本。
60名参与者中,56.7%为女性。平均年龄为57±8.3岁。收缩压和舒张压的平均值分别为133±13 mmHg和84±7.4 mmHg。血清钙的平均值为9.0±0.4 mg/dl。在本研究中,男性和女性的血清钙和HbA1c无显著差异。血清钙与舒张压水平呈显著负相关(r = -0.261,p = 0.046)(根据糖尿病病程进行校正)。此外,收缩压与血清钙水平存在负相关,但这种相关性不显著(r = -0.232,p = 0.080)[根据糖尿病病程进行校正]。
我们发现血清钙与舒张压水平呈显著负相关。我们建议在糖尿病患者高血压治疗过程中更多关注血清钙。