Features January 2009 Issue

Diabetics Need Blood Pressure and Kidney Function Control

Hypertension and poor kidney function must be identified and treated to keep cardiovascular risks down.

If you have diabetes, your risk of death increases by a factor of seven if you also have hypertension—and it’s estimated that more than 75 percent of diabetics have high blood pressure or are taking blood pressure medication. Given those statistics, it’s not surprising that new guidelines for treating hypertension in patients with diabetes have recently been issued by the American Society of Hypertension (Journal of Clinical Hypertension, October 2008). The guidelines urge a more aggressive treatment approach as well as more frequent medication monitoring. They also note that early identification and management of proteinuria—an elevated level of protein in the urine that signals the possibility of kidney disease—is an essential part of lowering heart risks for diabetics. "It is a vicious cycle—once you start developing kidney disease, your blood pressure goes up further. It’s a feed-forward kind of thing," says Leann Olansky, MD, an endocrinologist at Cleveland Clinic.

To continue reading this article you must be a paid subscriber.

Subscribe to Heart Advisor

Get the next year of HEART ADVISOR for just $20. That's a savings of $19 off the regular rate.

With your paid subscription you will receive unlimited access to all of our online content. That is over a decade of previous issues from Cleveland Clinic, the hospital rated #1 in cardiac care by U.S. News & World Report - free of charge.

Subscriber Log In

Forgot your password? Click Here.

Already subscribe but haven't registered for all the benefits of the website? Click here.