Blood Pressure Elevation in Diabetes: The Results from 24-h Ambulatory Blood Pressure Recordings

  • Klavs Würgler Hansen
  • Per Løgstrup Poulsen


Ambulatory blood pressure (BP) measurement permits assessment of BP in the patients own surroundings, during normal daily activities on the job and in the night. Previously semiautomatic monitors were used, which required manually inflation of the cuff [1], or direct (intraarterial) BP measurement [2]. The first true ambulatory 24-h report of indirectly measured BP obtained with a portable and fully automatic monitor was published in 1975 [3]


Diabetic Nephropathy Ambulatory Blood Pressure Autonomic Neuropathy Ambulatory Blood Pressure Monitoring NIDDM Patient 
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  1. 1.
    Sokolow M, Werdegar D, Kain HK, Hinman AT. Relationship between level of blood pressure measured casually and by portable recorders and severity of complications in essential hypertension. Circulation 1966; 34: 279–298.PubMedCrossRefGoogle Scholar
  2. 2.
    Bevan AT, Honour AJ, Stott FH. Direct arterial pressure recording in unrestricted man. Clin Sci 1969; 36: 329–344.PubMedGoogle Scholar
  3. 3.
    Schneider RA, Costiloe JP. Twenty-four hour automatic monitoring of blood pressure and heart rate at work and at home. Am Heart J 1975; 90: 695–702.PubMedCrossRefGoogle Scholar
  4. 4.
    Rubier S, Abenavoli T, Greenblatt HA, Dixon JF, Cieslik CJ. Ambulatory blood pressure monitoring in diabetic males: A method for detecting blood pressure elevations undisclosed by conventional methods. Clin Cardiol 1982; 5: 447–454.CrossRefGoogle Scholar
  5. 5.
    Osei K. Ambulatory and exercise-induced blood pressure responses in type I diabetic patients and normal subjects. Diabetes Res Clin Pract 1987; 3: 125–134.PubMedCrossRefGoogle Scholar
  6. 6.
    Porcellati C, Gatteschi C, Benemio G, Guerrieri M, Boldrini F, Verdecchia P. Analisi ecocardiografica del ventriculo sinistra in pazienti con diabete mellito di tipo II. G Ital Cardiol 1989; 19: 128–135.PubMedGoogle Scholar
  7. 7.
    Verdecchia P, Gatteschi C, Benemio G, Porcellati C. Ambulatory blood pressure monitoring in normotensive and hypertensive patients with diabetes (Abstract). J Hypertens 1988; 6: Suppl. 4: S692–S693.Google Scholar
  8. 8.
    Rubier S, Chu DA, Bruzzone CL. Blood pressure and heart rate responses during 24-h ambulatory monitoring and exercise in men with diabetes mellitus. Am J Cardiol 1985; 55: 801–806.CrossRefGoogle Scholar
  9. 9.
    Guilleminault C, Mondini S, Hayes B. Diabetic autonomic dysfunction, blood pressure and sleep. Ann Neurol 1985; 18: 670–675.PubMedCrossRefGoogle Scholar
  10. 10.
    Reeves RA, Shapiro AP, Thompson ME, Johnsen A-M. Loss of nocturnal decline in blood pressure after cardiac transplantation. Circulation 1986; 73: 401–408.PubMedCrossRefGoogle Scholar
  11. 11.
    Liniger C, Favre L, Adamec R, Pernet A, Assal J-Ph. Profil nyctémeral de la pression artérielle et de la fréquence cardiaque dans la neuropathie diabétique autonome. Schweiz Med Wschr 1987; 117: 1949–1953.PubMedGoogle Scholar
  12. 12.
    Hornung RS, Mahler RF, Raftery EB. Ambulatory blood pressure and heart rate in diabetic patients: an assessment of autonomic function. Diabetic Med 1989; 6: 579–585.PubMedCrossRefGoogle Scholar
  13. 13.
    Chanudet X, Bauduceau B, Ritz P, Jolibois P, Garcin JM, Larroque P, Gautier D. Neuropathie végétative et régulation tensioneile chez le diabétique. Arch Mal Coer 1989; 82: 1147–1151.Google Scholar
  14. 14.
    The National High Blood Pressure Education Program Coordinating Committee. National High Blood Pressure Education Program Working Group Report on ambulatory blood pressure monitoring. Arch Intern Med 1990; 150: 2270–2280.CrossRefGoogle Scholar
  15. 15.
    Stewart MJ, Padfield PL. Blood Pressure measurement: an epitaph for the mercury manometer? Clin Sci 1992; 83: 1–12.PubMedGoogle Scholar
  16. 16.
    Purcell HJ, Gibbs SR, Coats AJS, Fox KM. Ambulatory blood pressure monitoring and circadian variation of cardiovascular disease; clinical and research applications. Int J Cardiol 1992; 36: 135–149.PubMedCrossRefGoogle Scholar
  17. 17.
    Stewart MJ, Padfield PL. Measurement of blood pressure in the technological age. Br Med Bull 1994; 50: 420–442.PubMedGoogle Scholar
  18. 18.
    Pickering TG. Blood pressure measurement and detection of hypertension. Lancet 1994; 344: 31–35.PubMedCrossRefGoogle Scholar
  19. 19.
    Halimi S, Benhamou PY, Mallion JM, Gaudemaris R, Bachelot I. Intérêt de l’enregistrement de la pression artérielle ambulatoire chez les patients diabétiques. Diabete Metab (Paris) 1991; 17: 538–544.Google Scholar
  20. 20.
    White WB. Diurnal blood pressure and blood pressure variability in diabetic normotensive and hypertensive subjects. J Hypertens 1992; 10: Suppl. 1: S35–S41.Google Scholar
  21. 21.
    Hansen KW. »How to monitor blood pressure changes in the diabetes clinic: office, home or 24 h-ambulatory blood pressure recordings.« In Concepts for the Ideal Diabetes Clinic. Diabetes Forum Series, Vol IV. Mogensen CE, Standi E, eds. Berlin, New York: Walter de Gruyter, 1993; pp 235–248.Google Scholar
  22. 22.
    Hansen KW, Poulsen PL, Mogensen CE. Ambulatory blood pressure and abnormal albuminuria in type 1 diabetic patients. Kidney Int 1994; 45: Suppl. 45: S134–S140 (Correction. Kidney Int 45: 1799-1800, 1994).Google Scholar
  23. 23.
    Hansen KW, Christiansen JS. »Research methodologies for recording blood pressure in diabetic patients.« In Research Methodologies in Human Diabetes. Diabetes Forum Series, Vol. V, part 2. Mogensen CE, Standi E, eds. Berlin, New York: Walter de Gruyter, 1994; pp 113–124.Google Scholar
  24. 24.
    Staessen JA, Fagard R, Thijs L, Amery A. A consensus view on the technique of ambulatory blood pressure monitoring. Hypertension 1995; 26: part 1: 912–918.PubMedCrossRefGoogle Scholar
  25. 25.
    Coats AJS, Radaelli A, Clark SJ, Conway J, Sleight P. The influence of ambulatory blood pressure monitoring on the design and interpretation of trials in hypertension. J Hypertens 1992; 10: 385–391.PubMedCrossRefGoogle Scholar
  26. 26.
    Coats AJS, Clark SJ, Conway J. Analysis of ambulatory blood pressure data. J Hypertens 1991; 9: Suppl. 8: S19–S21.Google Scholar
  27. 27.
    Germano G, Damiani S, Caparra A, Cassone-Faldetta M, Germano U, Coia F, De Mattia G, Santucci A, Balsano F. Ambulatory blood pressure recording in diabetic patients with abnormal responses to cardiovascular autonomic tests. Acta Diabetol 1992; 28: 221–228.PubMedCrossRefGoogle Scholar
  28. 28.
    Hansen KW, Pedersen MM, Christiansen, Mogensen CE. Diurnal blood pressure variations in normoalbuminuric type 1 diabetic patients. J Int Med 1993; 234: 175–180.CrossRefGoogle Scholar
  29. 29.
    Schmitz A, Mau Pedersen M, Hansen KW. Blood pressure by 24 h ambulatory recordings in type 2 (non-insulin-dependent) diabetics. Relationship to urinary albumin excretion. Diabete Metab (Paris) 1991; 17: 301–307.Google Scholar
  30. 30.
    Nielsen FS, Rossing P, Bang Lia E, Svendsen TL, Gall M-A, Smidt UM, Parving H-H. On the mechanism of blunted nocturnal decline in arterial blood pressure in NIDDM patients with diabetic nephropathy. Diabetes 1995; 44: 783–789.PubMedCrossRefGoogle Scholar
  31. 31.
    Fogari R, Zoppi A, Malamani GD, Lazzari P, Destro M, Corradi L. Ambulatory blood pressure monitoring in normotensive and hypertensive type 2 diabetics. Prevalence of impaired diurnal blood pressure patterns. Am J Hypertens 1993; 6: 1–7.PubMedGoogle Scholar
  32. 32.
    Nielsen S, Schmitz O, Ørskov H, Mogensen CE. Similar insulin sensivity in NIDDM patients with normo-and microalbuminuria. Diabetes Care 1995; 18: 834–842.PubMedCrossRefGoogle Scholar
  33. 33.
    Pinkney JH, Foyle W-J, Denver AE, Mohamed-Ali V, McKinlay S, Yudkin JS. The relationship of urinary albumin excretion rate to ambulatory blood pressure and erythrocyte sodium-lithium countertransport in NIDDM. Diabetologia 1995; 38: 356–362.PubMedCrossRefGoogle Scholar
  34. 34.
    Iwase M, Kaseda S, lino K, Fukuhura M, Yamamoto M, Fukudome Y, Yoshizumi H, Abe I, Yoshinari M, Fujishima M. Circadian blood pressure variation in non-insulin-dependent diabetes mellitus with diabetic nephropathy. Diabetes Res Clin Pract 1994; 26: 43–50.PubMedCrossRefGoogle Scholar
  35. 35.
    Lindsay RS, Stewart MJ, Nairn IM, Padfield PL, Baird JD. Diurnal variation of blood pressure is reduced in type 2 diabetic patients with microalbumnuria (Abstract). Diabetic Med 1992; 9: S39–S40.Google Scholar
  36. 36.
    Corradi L, Zoppi A, Tettamanti F, Mugellini A, Derosa G, Malamani GD, Lazzari P, Fogari R. Nocturnal blood pressure and urinary albumin excretion in hypertensive patients with type II diabetes (Abstract). Am J Hypertens 1993; 6: 2A.Google Scholar
  37. 37.
    Nakano S, Uchida K, Kigoshi T, Azukizawa S, Iwasaki R, Kaneko M, Morimoto S. Circadian rhytm of blood pressure in normotensive NIDDM subjects. Its relation to microvascular complications. Diabetes Care 1991; 14: 707–711.PubMedCrossRefGoogle Scholar
  38. 38.
    Nielsen S, Schmitz A, Poulsen PL, Hansen KW, Mogensen CE. Albuminuria and 24-h ambulatory blood pressure in normoalbuminuric and microalbuminuric NIDDM patients. Diabetes Care 1995; 18: 1434–1441.PubMedCrossRefGoogle Scholar
  39. 39.
    Verdecchia P, Schillaci G, Guerrieri M, Gatteschi C, Benemio G, Boldrini F, Porcellati C. Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension. Circulation 1990; 81: 528–536.PubMedCrossRefGoogle Scholar
  40. 40.
    Chamontin B, Barbe P, Begasse F, Ghisolfi A, Amar J, Louvet JP, Salvador M. Presion artérielle ambulatoire au cours de l’hypertension arterielle avec dysautonomie. Arch Mal Coer 1990; 83:1103–1106.Google Scholar
  41. 41.
    Felici MG, Spallone V, Maillo MR, Gatta R, Civetta E, Frontoni S, Gambardella S, Menzinger G. Twenty-four hours blood pressure and heart rate profiles in diabetics with and without autonomie neuropathy. Funct Neurol 1991; 6: 299–304.PubMedGoogle Scholar
  42. 42.
    Liniger C, Favre L, Assal J-Ph. Twenty-four hour blood pressure and heart rate profiles of diabetic patients with abnormal cardiovascular reflexes. Diabetic Med 1991; 8: 420–427.PubMedCrossRefGoogle Scholar
  43. 43.
    Spallone V, Bernardi L, Ricordi L, Soldà P, Maillo MR, Calciati A, Gambardella S, Fratino P, Menzinger G. Relationship between the circadian rhytms of blood pressure and sympathovagal balance in diabetic autonomic neuropathy. Diabetes 1993; 42: 1745–1752.PubMedCrossRefGoogle Scholar
  44. 44.
    Ikeda T, Matsubara T, Sato Y, Sakamoto N. Circadian variation in diabetic patients with autonomie neuropathy. J Hypertens 1993: 11: 581–587.PubMedCrossRefGoogle Scholar
  45. 45.
    Nakano S, Uchida K, Ishii T, Takeuchi M, Azukizawa S, Kigoshi T, Morimoto S. Association of a nocturnal rise in plasma α-atrial natriuretic peptide and reversed diurnal rhytm in hospitalized normotensive subjects with non-insulin dependent diabetes mellitus. Eur J Endocrinol 1994; 131: 184–190.PubMedCrossRefGoogle Scholar
  46. 46.
    Sasaki E, Kitaoka H, Ohsawa N. Postprandial hypotension in patients with non-insulin-dependent diabetes mellitus. Diabetes Res Clin Pract 1992; 18: 113–121.PubMedCrossRefGoogle Scholar
  47. 47.
    Pinkney JH, Mohamed-Ali V, Denver AE, Foster C, Sampson MJ, Yudkin JS. Insulin resistance, insulin, proinsulin, and ambulatory blood pressure in type II diabetes. Hypertension 1994; 24: 362–367.PubMedCrossRefGoogle Scholar
  48. 48.
    Rynkiewicz A, Furmanski J, Narkiewicz K, Semetkowska E, Bieniaszewski L, Horoszek-Maziarz S, Krupa-Wojciechowska B. Influence of duration of type 1 (insulin-dependent) diabetes mellitus on 24-h ambulatory blood pressure and heart rate profile (letter). Diabetologia 1993; 36: 577.PubMedCrossRefGoogle Scholar
  49. 49.
    Hansen KW, Poulsen PL, Christiansen JS, Mogensen CE. Determinants of 24-h blood pressure in IDDM patients. Diabetes Care 1995; 18: 529–535.PubMedCrossRefGoogle Scholar
  50. 50.
    Donaldson DL, Moore WV, Chonko AM, Shipman JJ, Wiegmann T. Incipient hypertension precedes incipient nephropathy in adolescents and young adults with type I diabetes (Abstract). Diabetes 1992; 42: Suppl. 1: 97A.Google Scholar
  51. 51.
    Hansen KW, Pedersen MM, Christiansen JS, Mogensen CE. Night blood pressure and cigarette smoking: disparate associations in healthy subjects and diabetic patients. Blood Pressure 1994; 3: 381–388.PubMedCrossRefGoogle Scholar
  52. 52.
    Hansen KW, Christensen CK, Andersen PH, Mau Pedersen M, Christiansen JS, Mogensen CE. Ambulatory blood pressure in microalbuminuric type 1 diabetic patients. Kidney Int 1992; 41: 847–854.PubMedCrossRefGoogle Scholar
  53. 53.
    Benhamou PY, Halimi S, De Gaudemaris R, Boizel R, Pitiot M, Siehe JP, Bachelot I, Mallion JM. Early disturbances of ambulatory blood pressure load in normotensive type 1 diabetic patients with microalbuminuria. Diabetes Care 1992; 15: 1614–1619.PubMedCrossRefGoogle Scholar
  54. 54.
    Gilbert R, Philips P, Clarke C, Jerums G. Day-night blood pressure variation in normotensive normoalbuminuric type I diabetic subjects. Diabetes Care 1994; 17: 824–827.PubMedCrossRefGoogle Scholar
  55. 55.
    Khan N, Couper J, Dixit M, Couper R. Ambulatory blood pressure and heart rate in adolescents with insulin-dependent diabetes mellitus. Am J Hypertens 1994; 7: 937–940.PubMedGoogle Scholar
  56. 56.
    Guglielmi MD, Pierdomenico SD, Salvatore L, Romano R, Tascione E, Pupillo M, Porreca E, Imbastaro T, Cuccurullo F, Mezzetti A. Impaired left ventricular diastolic function and vascular postischemic vasodilation associated with microalbuminuria in IDDM patients. Diabetes Care 1995; 18: 353–360.PubMedCrossRefGoogle Scholar
  57. 57.
    Moore WV, Donaldson DL, Chonko AM, Ideus P, Wiegmann TB, Wiegmann. Ambulatory blood pressure in type I diabetes mellitus. Comparison to presence of incipient nephropathy in adolescents and young adults. Diabetes 41; 1992: 1035–1041.PubMedCrossRefGoogle Scholar
  58. 58.
    Sivieri R, Deandrea M, Gai V, Cavallo-Perin P. Orcadian blood pressure levels in normotensive normoalbuminuric type 1 diabetic patients. Diabetic Med 1994; 11; 357–361.PubMedCrossRefGoogle Scholar
  59. 59.
    Wiegmann TB, Herron KG, Chonko AM, Macdougall ML, Moore WV. Recognition og hypertension and abnormal blood pressure burden with ambulatory blood pressure recordings in type I diabetes mellitus. Diabetes 1990; 39: 1556–1560.PubMedCrossRefGoogle Scholar
  60. 60.
    Yip J, Mattock MB, Morocutti A, Sethi M, Trevisan R, Viberti G. Insulin resistance in insulin-dependent diabetic patients with microalbuminuria. Lancet 1993; 342: 883–887.PubMedCrossRefGoogle Scholar
  61. 61.
    Lurbe A, Redón J, Pascual JM, Tacons J, Alvarez V, Batlle DC. Altered blood pressure during sleep in normotensive subjects with type I diabetes. Hypertension 1993; 21: 227–235.PubMedCrossRefGoogle Scholar
  62. 62.
    Beirut G, Hallab M, Bouhanick B, Chameau A-M, Marre M, Fressinaud Ph. Value of ambulatory blood pressure in type I (insulin-dependent) diabetic patients with incipient diabetic nephropathy. Am J Hypertens 1994; 7: 222–227.CrossRefGoogle Scholar
  63. 63.
    Hansen KW, Mau Pedersen M, Marshall SM, Christiansen JS, Mogensen CE. Orcadian variation of blood pressure in patients with diabetic nephropathy. Diabetologia 1992; 35: 1074–1079.PubMedCrossRefGoogle Scholar
  64. 64.
    Torffvit O, Agardh C-D. Day and night variations in ambulatory blood pressure in type 1 diabetes mellitus with nephropathy and autonomic neuropathy. J Intern Med 1993; 233: 131–137.PubMedCrossRefGoogle Scholar
  65. 65.
    Poulsen PL, Hansen KW, Mogensen CE. Ambulatory blood pressure in the transition from normoto microalbuminuria. A longitudinal study in IDDM patients. Diabetes 1994; 43; 1248–1253.PubMedCrossRefGoogle Scholar
  66. 66.
    Page SR, Manning G, Ingle AR, Hill P, Millar-Craig MW, Peacock I. Raised ambulatory blood pressure in type 1 diabetes with incipient microalbuminuria. Diabetic Med 1994; 11; 877–882.PubMedCrossRefGoogle Scholar
  67. 67.
    Spallone V, Gambardella S, Maiello MR, Barini A, Frontoni S, Menzinger G. Relationship between autonomic neuropathy, 24-h blood pressure, and nephropathy in normotensive IDDM patients. Diabetes Care 1994; 17: 578–584.PubMedCrossRefGoogle Scholar
  68. 68.
    van Tol KM, Doelman CJR, van Ballegooie E, Reitsma WJ, Bilo HJG. Correlates with 24-hour ambulatory blood pressure abnormalities in insulin-dependent diabetic patients (Abstract). Netherlands J Med 1993; 46: A94.Google Scholar
  69. 69.
    Dyrberg T, Benn J, Sandahl Christiansen J, Hilsted J, Nerup J. Prevalence of diabetic autonomic neuropathy measured by simple bedside test. Diabetologia 1981; 20: 190–194.PubMedCrossRefGoogle Scholar
  70. 70.
    Zander E, Schulz, Heinke P, Grimmberger E, Zander G, Gottschling HD. Importance of cardiovascular autonomic dysfunction in IDDM subjects with diabetic nephropathy. Diabetes Care 1989; 12: 259–264.PubMedCrossRefGoogle Scholar
  71. 71.
    Mlgaard H, Christensen PD, Sørensen KE, Christensen CK, Mogensen CE. Association of 24-h cardiac parasympathetic activity and degree of nephropathy in IDDM patients. Diabetes 1992; 41: 812–817.CrossRefGoogle Scholar
  72. 72.
    Mølgaard H, Christensen PD, Hermansen K, Sørensen KE, Christensen CK, Mogensen CE. Early recognition of autonomic dysfunction in microalbuminuria: significance for cardiovascular mortality in diabetes mellitus. Diabetologia 1994; 37; 788–796.PubMedCrossRefGoogle Scholar
  73. 73.
    Hansen KW, Sørensen K, Christensen PD, Pedersen EB, Christiansen JS, Mogensen CE. Night blood pressure: relation to organ lesions in microalbuminuric type 1 diabetic patients. Diabetic Med 1995; 12: 42–45.PubMedCrossRefGoogle Scholar
  74. 74.
    Mulec H, Blohmé G, Kullenberg K, Nyberg G, Bjørck S. Latent overhydration and nocturnal hypertension in diabetic nephropathy. Diabetologia 1995; 38; 216–229.PubMedCrossRefGoogle Scholar
  75. 75.
    Borch-Johnsen K, Mogensen CE, Ebbehøj E, Wenzel H, Viberti GC. Letter to the Editor. Screening to prevent renal failure in diabetic patients. Study’s assumptions are unwarranted. BMJ 1996; 312: 1420.PubMedCrossRefGoogle Scholar
  76. 76.
    Hansen KW, Schmitz A, Mau Pedersen M. Ambulatory blood pressure measurement in type 2 diabetic patients: Methodological aspects. Diabetic Med 1991; 8: 567–572.PubMedCrossRefGoogle Scholar
  77. 77.
    Mau Pedersen M, Hansen KW, Schmitz A, Sørensen K, Christensen CK, Mogensen CE. Effects of ACE inhibition supplementary to beta blockers and diuretics in early diabetic nephropathy. Kidney Int 1992; 41: 883–890.CrossRefGoogle Scholar
  78. 78.
    Wiegmann TB, Herron KG, Chonko AM, MacDougall ML, Moore WV. Effect of angiotensin-converting enzyme inhibition on renal function and albuminuria in normotensive type I diabetic patients. Diabetes 1992; 41: 62–67.PubMedCrossRefGoogle Scholar
  79. 79.
    Nielsen FS, Rossing P, Gall M-A, Skøtt P, Smidt UM, Parving H-H. Impact of lisinopril and atenolol on kidney function in hypertensive NIDDM subjects with diabetic nephropathy. Diabetes 1994; 43; 1108–1113.PubMedCrossRefGoogle Scholar
  80. 80.
    Hansen KW, Klein F, Christensen PD, Sørensen K, Andersen PH, Møller J, Pedersen EB, Christiansen JS, Mogensen CE. Effects of captopril on ambulatory blood pressure, renal and cardiac function in microalbuminuric type 1 diabetic patients. Diabete Metab (Paris) 1994; 20; 485–493.Google Scholar
  81. 81.
    Rasmussen OW, Thomsen C, Hansen KW, Vesterlund M, Winther E, Hermansen K. Effects on blood pressure, glucose and lipid levels of a high-monounsaturated fat diet compared with a high-carbohydrate diet in NIDDM subjects. Diabetes Care 1993; 16: 1565–1571.PubMedCrossRefGoogle Scholar
  82. 82.
    Nielsen S, Hermansen K, Rasmussen OW, Thomsen C, Mogensen CE. Urinary albumin excretion rate and 24-h ambulatory blood pressure in NIDDM with microalbuminuria: effects of a monounsaturated-enriched diet. Diabetologia 1995; 38; 1069–1075.PubMedCrossRefGoogle Scholar
  83. 83.
    Palatini P, Racioppa A, Raule G, Zaninotto M, Penzo M, Pessina AC. Effect of timing of administration on the plasma ACE inhibitory activity and the antihypertensive effect of quinapril. Clin Pharmacol Ther 1992; 52; 378–383.PubMedCrossRefGoogle Scholar
  84. 84.
    Portaluppi F, Vergnani L, Manfredini R, Uberti ECD, Fersini C. Time-dependent effect of isradipine on the nocturnal hypertension in chronic renal failure. Am J Hypertens 1995; 8; 719–726.PubMedCrossRefGoogle Scholar
  85. 85.
    Gambardella S, Frontoni S, Spallone V, Maiello MR, Civetta E, Lanza G, Sandric S, Menzinger G. Increased left ventricular mass in normotensive diabetic patients with autonomic neuropathy. Am J Hypertens 1993; 6: 97–102.PubMedGoogle Scholar
  86. 86.
    Nielsen FS, Ali S, Rossing P, Bang LE, Svendsen TL, Gall M-A, Smidt UM, Kastrup J, Parving H-H. Left ventricular hypertrophy and systolic dysfunction in non-insulin dependent diabetic patients with and without diabetic nephropathy (Abstract). J Am Soc Nephrol 1995; 6: 453.Google Scholar
  87. 87.
    The Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The fifth report of the joint national committee on detection, evaluation, and treatment (JNC V). Arch Intern Med 1993; 153; 154–183.CrossRefGoogle Scholar
  88. 88.
    O’Brien E, Staessen J. Normotension and hypertension as defined by 24-hour ambulatory blood pressure monitoring. Blood Pressure 1995; 4; 266–282.PubMedCrossRefGoogle Scholar
  89. 89.
    Thijs L, Amery A, Clement D, Cox J, de Cort P, Fagard R, Fowler G, Guo C, Mancia G, Marin R, O’Brien E, O’Malley K, Palatini P, Parati G, Petrie J, Ravogli A, Rosenfeld J, Staessen J, Webster J. Ambulatory blood pressure monitoring in elderly patients with isolated systolic hypertension. J Hypertens 1992; 10; 693–699.PubMedGoogle Scholar
  90. 90.
    SHEP Cooperative Research Group. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. JAMA 1991; 265; 3255–3264.CrossRefGoogle Scholar
  91. 91.
    Rutan GH, McDonald RH, Kuller LH. Comparison of ambulatory and clinic blood pressure and heart rate in older persons with isolated systolic hypertension. Am J Hypertens 1992; 5; 880–886.PubMedGoogle Scholar
  92. 92.
    Viberti GC, Mogensen CE, Passa P, Bilous R, Mangili R. »St Vincent declaration, 1994: guidelines for the prevention of diabetic renal failure.« In The Kidney and Hypertension in Diabetes Mellitus. Mogensen CE, ed. Boston, Dordrecht, London: Kluwer Academic Publishers, 1994; pp 515–527.CrossRefGoogle Scholar
  93. 93.
    Mogensen CE, Keane WF, Bennet PH, Jerums G, Parving H-H, Passa P, Steffes MW, Striker GE, Viberti GC. Prevention of diabetic renal disease with special reference to microalbuminuria. Lancet 1995; 346; 1080–1084.PubMedCrossRefGoogle Scholar
  94. 94.
    Consensus statement. Treatment of hypertension in diabetes. Diabetes Care 1993; 16: 1394–1401.Google Scholar
  95. 95.
    The national high blood pressure education program working group. National high blood pressure education program working group report on hypertension in diabetes. Hypertension 1994; 23: 145–158.CrossRefGoogle Scholar
  96. 96.
    The guidelines subcommittee of the WHO/ISH mild hypertension liaison committee. 1993 guidelines for the management of mild hypertension. Hypertension 1993; 22: 392–403.CrossRefGoogle Scholar
  97. 97.
    Mølgaard H, Hermansen K. »Evaluation of cardiac autonomic neuropathy by heart rate variability.« In Research Methodologies in Human Diabetes. Diabetes Forum Series, Vol V, part 1. Mogensen CE, Standi E, eds. Berlin, New York: Walter de Gruyter, 1994; pp 219–240.Google Scholar
  98. 98.
    Imholz BPM, Langewouters GJ, van Montfrans A, Parati G, van Goudoever J, Wesseling KH, Wieling W, Mancia G. Feasibility of ambulatory, continous 24-hour finger arterial pressure recording. Hypertension 1993; 21: 65–73.PubMedCrossRefGoogle Scholar
  99. 99.
    Ebbehøj E, Hansen KW, Poulsen PL, Mogensen CE. Ambulatory blood pressure measurement in relation to clinic based measurement in diabetic patients (Abstract). Diabetologia 1996; 39: Suppl. 1: A288.Google Scholar

Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Klavs Würgler Hansen
    • 1
  • Per Løgstrup Poulsen
    • 1
  1. 1.Medical Department MAarhus KommunehospitalAarhusDenmark

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