Title |
A Practical Approach to Hypertension Management in Diabetes
|
---|---|
Published in |
Diabetes Therapy, September 2017
|
DOI | 10.1007/s13300-017-0310-3 |
Pubmed ID | |
Authors |
Altamash Shaikh |
Abstract |
Hypertension is one of the most important comorbidities of diabetes, contributing significantly to death and disability and leads to macrovascular and microvascular complications. When assessing the medical priorities for patients with diabetes, treating hypertension should be a primary consideration. Practical approaches to hypertension in diabetes, including individualized targets are discussed, as per stage and complication of diabetes, according to current studies and guidelines. Angiotensin converting enzyme inhibitors (ACEI)/angiotensin receptor blockers (ARBs) are the most effective drugs for treating hypertension in diabetes, in the absence of contraindications. Calcium antagonists or diuretics are acceptable as second-line agents. Once the target is achieved, antihypertensive drugs should be continued. Newer antidiabetes medications such as sodium glucose cotransporter-2 inhibitors (SGLT2i), glucagon-like peptide-1 receptor agonists (GLP1-RA), and dipeptidyl peptidase-4 inhibitors (DPP4i) have antihypertensive properties and may assist in treatment decision-making. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
India | 5 | 71% |
United Kingdom | 1 | 14% |
Unknown | 1 | 14% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 71% |
Practitioners (doctors, other healthcare professionals) | 1 | 14% |
Science communicators (journalists, bloggers, editors) | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 78 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 11 | 14% |
Student > Master | 8 | 10% |
Student > Postgraduate | 6 | 8% |
Other | 4 | 5% |
Researcher | 4 | 5% |
Other | 9 | 12% |
Unknown | 36 | 46% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 14 | 18% |
Nursing and Health Professions | 8 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 8 | 10% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Neuroscience | 2 | 3% |
Other | 5 | 6% |
Unknown | 38 | 49% |