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The Hypertensive Diabetic Patient

  • J. H. Fuller
Conference paper


Diabetes and hypertension often co-exist in the same patient [1], and raised blood pressure (BP) is now established as an important risk factor for the development of both the large- and small-vessel complications of diabetes [2]. The study of the association between hyperglycaemia and raised BP raises important issues concerning the aetiology of both hypertension and diabetes, particularly the non-insulin-dependent variety (NIDDM). The role of contributory factors such as body fat distribution and hyperinsulinaemia in this interrelationship may be of particular importance [3, 4]. In insulin-dependent diabetes (IDDM), the involvement of raised BP in the incidence and progression of diabetic nephropathy and retinopathy is receiving increasing attention.


Diabetic Nephropathy Angiotensin Converting Enzyme Diabetic Retinopathy Urinary Albumin Excretion United Kingdom Prospective Diabetes Study 
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© Springer-Verlag Berlin Heidelberg 1991

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  • J. H. Fuller

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