What does this research mean for the field?

The 10-year incidence of hypertension in individuals with insulin-dependent diabetes is 25.9%, with higher risk significantly associated with poor glycemic control, gross proteinuria, longer disease duration, and male gender. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 25, 1996Archives of Internal Medicine

The Incidence of Hypertension in Insulin-Dependent Diabetes

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Structured PICO

Population

765 individuals diagnosed as having diabetes when they were younger than 30 years and taking insulin, from southern Wisconsin

Outcome

10-year incidence of hypertension (defined as mean systolic blood pressure ≥160 mm Hg or ≥140 mm Hg in those <25 years, and/or mean diastolic blood pressure ≥95 mm Hg or ≥90 mm Hg in those <25 years, and/or history of hypertension with use of antihypertensive medication)surrogate

In patients with young-onset insulin-dependent diabetes, poor glycemic control, gross proteinuria, longer disease duration, and male gender are significant independent predictors of developing hypertension over 10 years.

Discussion

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Implication

May inform surveillance in young-onset diabetes; leaves open whether targeting glycemia or proteinuria reduces hypertension incidence.

Cite This Study

Ronald Klein (1996) studied this question.

synapsesocial.com/papers/6a154654a4734e8e604e2fea https://doi.org/10.1001/archinte.1996.00440060042005

Topics

Hypertension management

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