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November 28, 2011

Hypertension In Diabetes

Hypertension in Diabetes
If you are a diabetics then suffer from hypertension, then you should be extra careful because hypertension in diabetes will cause a lot of impact and damage important organ. Therefore, treatment of hypertension in diabetes is slightly different with general hypertension. The prevalence of hypertension in diabetics is higher than non-diabetics.

Epidemiologically, a study of large population of type 1 diabetes mellitus shows that 5 % of patients have hypertension in diabetes within 10 years, 33% have hypertension within 20 years, and 70% have hypertension by age 40. But in type 2 diabetes mellitus patients, 75% of patients with kidney disfunction also have hypertension. Patients with no kidney disfunction, 40% of them have hypertension. Generally, 35% of all people with diabetes mellitus also have hypertension.

Hypertension in diabetes mellitus are two diseases that related each other. Hypertension in diabetes is the most common complication that is difficult to treat, where hypertension makes diabetes more dangerous and end up as kidney failure.

Hypertension and diabetes mellitus tend to occur together because they have the same physiological mechanism, it means: the effects caused by one disease will make other disease more likely to occur. The effects of hypertension in diabetes are listed below.
  1. Increased arterial resistance. Diabetes mellitus can decrease the blood vessels' ability to stretch, causing higher blood pressure.
  2. Increased fluid volume. Diabetes mellitus can increase the total amount of fluid in the body, then end up raising blood pressure.
  3. Disorder on insulin handling. Failure in the way the body produces and handles insulin can increase blood pressure.
How to Treat Hypertension in Diabetes?
  1. Non pharmalogical: life style modification, exercise programs, etc.
  2. Pharmalogical. This treatment's goal is to reduce cardiovascular events and microvascular complications. The drugs are:
    • Diuretics: thiazide
    • ACE inhibitors: captopril, lisinopril
    • Angiotensin receptor blockers (ARBs): valsartan
The choice of treatment may be individually different from one patient and another. It based on clinical characteristics of the patient (including other underlying diseases), patients' tolerability, personal preferences, and cost.


5 comments:

  1. THE STORY OF MY BREAKTHROUGH "
    Hi dear readers,
    Today,I would like to tell story of how I suffered from a 7 years bareness of FIBROID and how I was cured in less than a month by a Herbalist in Africa Dr.Akpu power
    First thing first, let me introduce myself. I'm LUCY HARDEN , 38 years, lives in Chicago .
    This is my story
    Many couples are faced with the issues not conceiving many years,after marriage and this sometimes puts a strain on the union.
    However,the patient ones are sometimes rewarded. i faced embarrassing questions from friends and family after marriage for years without a child
    Unknown to them that I was battling with fibroid that I have to removed before being able to conceive.
    Just when my husband decided to take me to a surgery for fibroids,after trying lots of medical prescription but nothing positive could show up. I was seriously looking for means and I thought about Herbs, when my friend Rose told me to try Dr. Akpu power herbal medicine as a power doctor that helped her cure her daughter from Herpes. Luckily for me during my search for my fibroid remedy,I came across a testimony of a lady who was born with HIV, that doctor Akpu helped cured and I was touched if I could have applied it might have work for me before now. This same Herbalist i was directed to some months ago by my friend who he cured his 18 years daughter from Herpes had been so powerful behind my knowledge.
    I told my husband about what I saw and he said I should contact him and try his medicine.
    When I copied the mail and wrote to him,we spoke and explained my problem to him. He said I shouldn't cry any more, I should testify to the world and those who mocked at my barrenness that I'm pregnant.
    I quickly requested for his Medicine , and he prepared and sent it for me with details of how to use.
    His medicine are very effective. And it also boosts up my immune system.
    I did as instructed and after a couple of months I went for the second test when I lost my habitat again,I thought I was fibroid positive again ,my husband took me to the hospital and my Dr. Confirmed me 3 weeks pregnant, Fibroid negative.
    That blows my mind!
    I had just conceive. I'm a mother of twice now. A boy and a girl.
    Please help me praise God for opening my eyes to see who directed me to Dr.Akpu power of Africa.
    You should contact him his live at his home or @
    Dr.akpupowerherbscenter@gmail.com
    Phone no(WhatsApp): +234 8079594617
    He had successfully cured people from
    HIV/AIDS,
    Herpes
    Cancers
    Fibroid
    Epilepsy
    Diabetes
    Pile
    Kidney/liver failure
    Stroke
    Poison/ cartridge infection
    Try as much as you can contact this man,for cure or information to your health challenges.
    Dr.Akpupowerherbscenter@gmail.com
    Don't forget please.

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  2. hat a miracle in my life!!!

    I'm so happy now cos all of my wasted years are gone, does years of tears and sorrows. I was diagnosed of Genital Herpes, I never believed myself been affected with Herpes Until now.I heard so much about the virus.I was so ashamed of myself to show up publicly. My doctor ,had to give me the Antibiotics like the acyclovir, which only helps to reduce outbreak, and I was concerned with cure cose the rashes where so painful and uncomfortable to my life .I thought I should engage consuming much of friuts, and vegetables for remedy still nothing to sure whenever I goes for checkup. With time, I became interested with Herbs and I decided to check online if there could be possible remedy regarding to what my friend Lucy told me about Dr. Awada herbal medicine that saved her Aunts life from Aunt from the Cancer iv haven visited many hospitals no cure to show. I had to try my luck believing God for cure. Collected the mail and contacted the herbalist for possible remedy and requested for the Herpes medicine. He was so kind, cos have spent almost everything with me then, he prepared and sent the medicine with guidelines of how to apply at a very low price. I do received the medicine and used as instructed, I became to feel relieved and more energy in me,the blisters where gradually diminishing till I could see them no more. I quickly went to check for checkup and I was cured from the Herpes. No sign till date.Thanks so much to all those who contribute to my breakthrough. Dr.Awada can cure you and you will be happy in less than 2 weeks. write back if you got cure so the world will know what to do to reduce herpes and other most deathly virus in the world.Kindly contact Dr Awada @drawadaherbalhome@gmail.comrequest for your herbal medicine for all sickness, including HIV/AIDS,HPV,CANCER, DIABETES, HEPATITIS, KIDNEY FALIUR WEEK ERECTION,LOW SPAM COUNT, FIBROIDS,....GET YOUR CURE NOW

    drawadaherbalhome@gmail.com
    Thanks

    ReplyDelete
  3. I was hospitalized with pneumonia and possible TB. I was scared too. Was this cancer?
    I was finally allowed to go home. But had clinic visit a few days after.
    The doctor wanted to discuss what was happening to me and that because my CD4 was down to 40 and viral load in excess of 330,000 copies, things were looking extremely tough for me in the coming months. I feared the worse. Was this the end for me. Was I going to die. Terrible fear took over. People with my diagnosis don't usually survive.
    I had to take a whole month off work. Everyone was worried and wondered how I became so sick.
    I had a close friend who came to the clinic with me and just supported me.
    Fortunately my doctor was very positive and said it was going to be tough. But that I would survive.
    Its now been 8 months since that all happened. Nothing positive to show up for my result, my friend told me about an Africa Herbalist who cured her Sis from Herpes, i was left with no choice i allowed her to contact the Herbalist and complaints for my cure. The Herbalist assured me I will be fine after taking his medicine. He did prepared it and sent it to me following the institutions applied, I became very happy cos I knew I was recovery with the Herbal Medicine, before I could finished the last bottle, I was convinced about my cure, and went for my test and all my results tested Negative.My health is back and my body is respond to treatment.
    I'm hearing you. It isn't easy. Its freaking scary. I'm still fighting. And getting better each day.
    My viral load now is undetectable. But my CD4 is still low.
    I take each day now as a gift. I hey to look after my body. Mentally I'm still struggling. But I'm on the mend.

    Stay strong. HIV, HSV, HPV CANCER, DIABETES ETC..ARE NO LONGER A DEATH SENTENCE.

    I will be okay. And so will you. Life throws these things and challenges at us. To make us stronger.
    Together we will overcome.
    contact,
    Odeyabangherbalhome@gmail.com
    For Herbal remedy.

    ReplyDelete
  4. I was a victim of Herpes for 3 years till I got intouched with a powerful Herbalist during my wonderful research and saw people given testimonies about his herbal redemedies. I felt reluctant at first and the next day I met another lady who wrote with Thanksgiving testified how the Herbalist cures her mum from the CANCER the PHYSICIAN THERAPIST confirmed she could only live for 2 months, lucky her health was restored after she contacted Dr. Odey Abang, my powerful Herbalist within 3 weeks and the medicine bring her back. I was moved to try on my part. Sooner,he replied back and told him all I heard. Miraculously with Faith it works for me as well. I recommend Dr Odey Abang, Most Spiritual And Intellectual Herbalist.
    He had successfully cure many through me and I saw here to make it known to you all
    Dr Odey Abang, is a step to your breakthrough.
    Contact him for your problem, he cures and bring back relationship,finiacial breakthrough and deliverance.
    Kindly contact him if you're interested in my words
    odeyabangherbalhome@gmail.com

    ReplyDelete
  5. I'm Susan, I'm from Florida United States.
    I dedicated this to my Beloved Daughter Kaila who helped me get the cure for my CANCER. And Specially to Dr. Odey Abang the Herbalist directly for his interest to handle my situation even when I was told I could not be cured. It's a long story to court and pains being of such a Danger of CANCER, for 4months Glory be to God��
    It was Cancer Stage 4, and ended up, though I had serious problems with my feet, inability to take in solid food or medicals for my cures. Has God directed my daughter not knowing he had cured her from HERPES of which I never thought he could cured for CANCER, You need to be free and not die of IGNORANCE. HERBAL MEDICINE from a reliable Herbalist stans to be the best remedies for cures. I had known Dr. Odey Abang over 3 years now on he's cures for Herpes Simplex Viruse and HIV/AIDS.
    I could testify to you now that he had successfully cures HIV/AIDS, Diabetes HPV HSV Cancer and much more of all infections and bacteria diseases
    Contact him and desist from those Virus
    Always and every time I appreciate and recommend Dr Odey Abang for his good work in saving lives.
    His email address directed
    odeyabangherbalhome@gmail.com
    Feel blessed and happy day's ������

    ReplyDelete