Islets of Hope  complications of diabetes

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By Lahle Wolfe

Sources

Wikipedia.com

High Blood Pressure and Kidney Disease from The National Kidney and Urologic Diseases Information Clearinghouse

Patient UK.com


Fast Click to Complications

Amputation
Blindness
Diabetic Ketoacidosis
Diabetic Neuropathy
Diabetic Retinopathy
Eating Disorders
Erectile Dysfunctions
Foot & Skin Problems
Gastroparesis
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Infections
Infertility
Insulin Shock
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Peripheral Artery Disease
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Weight Gain
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Wound Care


Diabetes Treatment & Management

Main Treatment Menu

Diabetes Type 1
Diabetes Type 2 
Pre-Diabetes
Gestational Diabetes
Diabetes Insipidus
Treating Hypoglycemia
Treating Hyperglycemia
Monitoring Your Blood Glucose


Conventional Treatments
Pancreas Islet Cell Transplant
Pancreas (Organ) Transplant
Stress Management
Lifestyle Changes


Complimentary Treatments
Acupuncture
Biofeedback, Meditation & Prayer
Chiropractic Care
Diabetes "Cures"
Herbals & Natural Remedies
Homeopathy
Vitamins and Supplements
Yoga


Lifestyle Approaches to Diabetes Management
Diabetes and Exercise
Diabetes and Sports
Diabetes & Diet/Meal Planning
Stress Management


A vegetable-rich diet can help to reduce blood pressure, researchers say.
 
BCC News, January 10, 2006


Hypertension & Women

(LifeClinic.com Links)

Does menopause affect blood pressure?

Do oral contraceptives raise blood pressure?

High blood pressure and bone weakening.

High Blood Pressure Isn't Well Controlled in Older Women.


Symptoms of High Blood Pressure

(LifeClinic.com Links)

How do I know when my blood pressure is high?

What are the symptoms of high blood pressure?


Headaches & High Blood Pressure

(LifeClinic.com Links)

Is Headache Related to Increases of Blood Pressure?

Study Proves Headaches Are Not Related to Blood Pressure


Measuring High Blood Pressure

(LifeClinic.com Links)

What are Korotkoff sounds?

What is an electrocardiogram?

Do You Have 'White Coat Hypertension'?


Stress & High Blood Pressure

(LifeClinic.com Links)

Panic attacks more common in people with high blood pressure.

Does stress cause hypertension?

'Fight or flight' response raises blood pressure -- even while you're asleep


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More Links

The Framingham Heart Study

Information on ALLHAT

A guide to lowering high blood pressure from the National Heart, Lung, and Blood Institute

The DASH diet from the National Heart, Lung, and Blood Institute

High Blood Pressure (from the American Heart Association)

High Blood Pressure from MedlinePlus

 

Diabetes Medical Library                     back to main "Complications" page
Diabetes Complications

High Blood Pressure (Hypertension) and Diabetes
Risks, Causes, Treatment & Prevention


Mini Site Index
What is blood pressure?
-- Systolic Pressure
-- Diastolic Pressure
What is normal blood pressure?
(Chart) Blood Pressure Values
What do the numbers mean?
Signs and Symptoms
Causes  (Etiology & Pathophysiology)
Complications and Emergencies
Diabetes and High Blood Pressure
Pregnancy
When is hypertension diagnosed?
Distinguishing Between Primary vs. Secondary Hypertension
Treatment - Lifestyle Modifications and Medication
Epidemiology and Prevalence

What is Blood Pressure?

The heart pumps blood throughout the body in vessels called arteries.  Blood pressure is the measure of how much force (or pressure) pushes against the walls of your arteries.  

There are two numbers used to measure blood pressure, systolic and diastolic pressure.  They will be shown as one number over another, with the systolic number always listed first.  For example, the number 120/80 would mean:

(Systolic Pressure) 120   over    (Diastolic Pressure) 80


Systolic Pressure

This measures how much pressure is put on atery walls when the heart pumps (the most pressure is present when the heart pumps.)  The average, normal heart rate is 60-70 pumps per minute when a person is at rest.  


Diastolic Pressure

This measures how much pressure is put on the arteries when the heart rests between beats.  Your pressure will fall briefly in between each heart beat.  


What is normal blood pressure for nondiabetics?

It is normal for blood pressure to fluctuate a little through the night and day.  For example, it is lowest when you sleep and rises when you get up.  It also can rise when you are excited, nervous, or active, and certain medications can either increase or decrease blood pressure.

But for most of your waking hours, your blood pressure stays pretty much the same when you are sitting or standing still. A normal blood pressure level would be lower than 120/80.  When the level stays high (140/90 or higher), you have high blood pressure.

High blood pressure makes the heart work harder and your arteries take a beating.  High blood pressure (hypertension) increases your chances of a stroke, heart attack, and kidney problems.

Blood Pressure Values

Classification

Systolic
(top number)

Diastolic
(bottom number)

Normal

Less than 120

Less than 80

Prehypertension

120-139

80-89

Hypertension Stage 1

140-159

90-99

Hypertension Stage 2

160 or higher

100 or higher

 

   


What do the Numbers Mean?

If you have diabetes without kidney problems the usual target is to reduce blood pressure to 140/80 mmHg or below. Some experts advise the target should be even lower at 130/80 mmHg or below. Your own doctor will advise on what target you should aim for.

If you have a complication of diabetes called diabetic nephropathy (kidney damage) - The target is then to reduce blood pressure even lower - to 135/75 mmHg or below. Again, some experts would advise even lower, to 130/75 mmHg or below. Your own doctor will advise what target you should aim for.

For people with diabetes:

  • Mildly high blood pressure is above the target level, but below 160/100 mmHg.
     
  • Moderate to severe high blood pressure is 160/100 mmHg or above.

High blood pressure can also be:

  • just a high systolic pressure, for example, 170/70 mmHg.
  • just a high diastolic pressure, for example, 128/104 mmHg.
  • or both, for example, 170/110 mmHg.

Note: it can be confusing as the definition of high blood pressure in the general population is 140/90 mmHg or above. However, for people with diabetes, bringing blood pressure down to the lower target levels described above is beneficial to reduce the increased health risks associated with diabetes.

   


Signs and Symptoms of Hypertension

Hypertension is usually found incidentally - "case finding" by healthcare professionals. It normally produces no symptoms but sometimes may evidence in malignant hypertension (or accelerated hypertension, a late stage 2 in the condition) and may present with headaches, blurred vision, and end-organ damage.

Hypertension is often confused with mental tension, stress and anxiety.  While chronic anxiety is associated with poor outcomes in people with hypertension, it alone does not cause it.  

   


Causes of Hypertension

Essential hypertension

  • Age. Over time, the number of collagen fibres in artery and arteriole walls increases, making blood vessels stiffer. With the reduced elasticity comes a smaller cross-sectional area in systole, and so a raised mean arterial blood pressure.
  • High salt intake
  • Sedentarylifestyle
  • Tobacco smoking
  • Alcohol abuse
  • High levels of saturated fat in the diet
  • Obesity. In obese subjects, losing a kilogram of mass generally reduces blood pressure by 2 mmHg.
  • Stress