Associated with the diabetic patients with hypertension how

Diabetic Hypertension is a common complication, rather than dependent diabetes often hyperinsulinemia. Hyperinsulinemia prompting tubular sodium absorption increased, resulting in increased blood volume, and increases induced hypertension. Diabetes can also prompted glomerulosclerosis, leading to diabetic nephropathy. Diabetic nephropathy renal glomerular drainage obstacles and the glass-like change prompted tubular stenosis, peripheral resistance, higher blood pressure, in turn may lead to cardiovascular morbidity and, therefore, associated with diabetes in patients with hypertension, should actively treatment. Diabetes and hypertension drug selection principle is to avoid the use of the adverse impact of diabetes drug Selection of hypertension, diabetes and vascular damage caused by the protective effect of drugs. Calcium antagonist hypertension patients prompting the glomerular filtration rate, renal blood flow, delay diabetic nephropathy and retinopathy progress, no effect on blood sugar, so they can be the first choice antihypertensive calcium antagonist. Converting enzyme inhibitors to further delay the development of diabetic nephropathy, renal blood flow, glomerular filtration rate and reduce proteinuria and may protect blood vessels and prevent atherosclerosis, Thus when the diabetes with hypertension may choose. Diuretic antihypertensive agents, such as hydrochlorothiazide, furosemide easily cause hypokalemia and influence insulin release and sensitivity, make hyperglycemia. Furthermore, excessive diuretic not only can induce diabetic coma, and often increased blood lipid and blood uric acid side effects, Therefore, we should use taboo. Beta-blockers such as propranolol, the U.S. Metoprolol, Atenolol, could make insulin secretion suppressing interference sympathetic function, make glucose tolerance drop prone ketotic hyperosmolar diabetic coma, and thus no such it is appropriate antihypertensive drugs