Laurie Barclay, MD Sept. 16, 2002
Nocturnal blood pressure may be the best early indicator of subsequent vascular complications and renal disease in diabetes, according to a report in the Sept. 12 issue of the New England Journal of Medicine.
Investigators suggest that this marker may be helpful in determining who should have early intervention and who may not need it. “In persons with type 1 diabetes, an increase in systolic blood pressure during sleep precedes the development of microalbuminuria,” write Empar Lurbe, MD, from the University of Valencia in Spain, and colleagues. “In those whose blood pressure during sleep decreases normally, the progression from normal albumin excretion to microalbuminuria appears to be less likely.”
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