Antihypertensive therapy in diabetic patients

Authors

  • Sandra António Médica Interna de Medicina Interna
  • Patrícia Ferreira Médica Interna de Medicina Interna
  • Maria Cristina Esteves Assistente Hospitalar Graduada de Medicina Interna, Núcleo da Diabetes - Hospital Distrital de Santarém, EPE, Serviço de Medicina I
  • Nuno Cabanelas Médico Interno de Cardiologia

DOI:

https://doi.org/10.32385/rpmgf.v24i3.10510

Keywords:

Hypertension, Diabetes Mellitus, Antihypertensive Drugs

Abstract

Diabetes mellitus and hypertension are clinical entities frequently combined in the same patient; together they exert a synergetic effect that causes, among other events, a fast deterioration of the kidney function and a growing cardiovascular risk. The diabetic patients blood pressure must be strictly controlled, aiming at values inferior to 130/80 mmHg. Goals: The analysis of the classes of antihypertensives more frequently recommended for the treatment of the hypertensive diabetic patient. Methods: Bibliographic review, including reference studies and recently published articles on the areas of Diabetology and Hypertension. Conclusions: The first choice antihypertensives should be ACE inhibitors, due to their protective effects on the kidney and the cardiovascular system. In case of intolerance or counter-indication to these antihypertensives, the therapeutic choice should fall on angiotensin II receptor antagonists, which may be combined with low dosage thiazide diuretics. On a second row of the therapeutic arsenal stand b-blockers and calcium channel blockers. Loop diuretics, central agents and a-blockers are third line drugs destined for use in cases of hypertension that resists to the previous classes and/or in specific cases.

Downloads

Download data is not yet available.

Downloads

Published

2008-05-01

Issue

Vol. 24 No. 3 (2008): Revista Portuguesa de Clínica Geral

Section

Dossier

License

The authors will assign to the RPMGF the sole right to publish and distribute the content of the manuscript specified in this declaration via physical, electronic, broadcasting or any other medium that may come into existence. They also grant the RPMGF the right to use and exploit this manuscript, in particular by assigning, selling or licensing its content. This permission is permanent and takes effect from the moment the manuscript is submitted, has the maximum duration allowed by applicable Portuguese or international law and is of worldwide scope. The authors further declare that this assignment is made free of charge. If the RPMGF informs the authors that it is not going to publish their manuscript, the exclusive assignment of rights ceases forthwith.

The authors authorise the RPMGF (or any entity it may appoint) to act on their behalf when it believes that copyright may have been infringed.

 

How to Cite

Antihypertensive therapy in diabetic patients. (2008). Portuguese Journal of Family Medicine and General Practice, 24(3), 403-9. https://doi.org/10.32385/rpmgf.v24i3.10510