The incidence of hypertension in patients with diabetes rate as high as 40%, non-diabetic patients two times. Hypertension is not only nephropathy performance, but also the development of nephropathy major risk factors. The hypertensive patients with diabetic nephropathy has unique characteristics.
1. Hypertension occurred in the more advanced diabetic nephropathy. In Phase III diabetic nephropathy, blood pressure began to increase, the trend was gradually worsened. If No prior diabetic nephropathy in diabetes or high blood pressure before, and most essential hypertension, and elevated blood pressure after a kidney will be further aggravated or poor response to treatment.
2. If patients with arteriosclerosis mainly manifested mainly as a systolic blood pressure increased in terms of the main renal insufficiency, especially with obvious swelling, systolic and diastolic blood pressure were elevated.
3. Many patients with diabetic nephropathy with autonomic nerve dysfunction, blood pressure fluctuations, control difficult, and some patients with hypertension and supine performance as standing hypotension.
4. Hypertensive diabetic nephropathy is one of the main performance, but also facilitated the development and deterioration of kidney, blood pressure further increased.
5. Hypertension often accompanied by other complications such as retinopathy, such as cardio - cerebral vascular diseases, diabetic nephropathy and retinopathy at the same time the probability of higher than 80 percent.
6. Standards to strictly control blood pressure. Diabetic patients in the 140/90 mm Hg blood pressure above, antihypertensive treatment should be given to control blood pressure in the 130/85 mm Hg below merger control blood pressure in patients with nephropathy standards 125/75 mm Hg.
According to the above features, the choice of antihypertensive drugs should be fully taken into account, the combination of two or more drugs to lower blood pressure, while stressing the protection of renal function.
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