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December 1, 1990Diabetes

Recognition of Hypertension and Abnormal Blood Pressure Burden With Ambulatory Blood Pressure Recordings in Type I Diabetes Mellitus

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Why the study?

Does ambulatory blood pressure monitoring reveal abnormal blood pressure burden in normotensive patients with type I diabetes mellitus compared to healthy controls?

Population

25 subjects with insulin-dependent diabetes mellitus with normal kidney function and normotensive by…

Comparison

Ambulatory blood pressure measurements obtained… vs 21 control subjects

Design

Case-control

Follow-up

24 hours

Authors

TWThomas WiegmannVeterans Health AdministrationKHKristine G HerronUniversity of Kansas Medical CenterACArnold M. ChonkoUniversity of Kansas Medical Center

Discussion

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Implication

May warrant ABPM screening in normotensive type 1 diabetes; leaves open prognostic impact and treatment effects.

Structured PICO

Does ambulatory blood pressure monitoring reveal abnormal blood pressure burden in normotensive patients with type I diabetes mellitus compared to healthy controls?

P
Population
25 subjects with insulin-dependent (type I) diabetes mellitus with normal kidney function and normotensive by standard sphygmomanometer, and 21 control subjects.
I
Intervention
Ambulatory blood pressure (AMBP) measurements obtained at 20-min intervals for 24 hours
C
Comparator
21 control subjects
O
Outcome
Mean ambulatory blood pressure (systolic/diastolic) over 24 hours, daytime (0600-2200), and nighttime (2200-0600)surrogate

Ambulatory blood pressure monitoring reveals a high prevalence of masked hypertension and abnormal blood pressure burden in type I diabetic patients who are normotensive by standard clinic measurements.

Cite This Study

Wiegmann et al. (1990) studied this question.

synapsesocial.com/papers/6a87bf1f19ee2aac066c82behttps://doi.org/10.2337/diab.39.12.1556

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ambulatory Blood Pressure in Type I Diabetes Mellitus: Comparison to Presence of Incipient Nephropathy in Adolescents and Young Adults1992 · 78 citations
  2. 2Ambulatory blood pressure monitoring (ABPM) in normotensive adolescents with type 1 diabetes2002 · 9 citations
  3. 3What is hypertension in diabetes? Ambulatory blood pressure in 137 normotensive and normoalbuminuric Type 1 diabetic patients2001 · 16 citations
  4. 4Value of Ambulatory Blood Pressure Monitoring in Type I (Insulin-Dependent) Diabetic Patients With Incipient Diabetic Nephropathy1994 · 40 citations
  5. 5Variations of Ambulatory Blood Pressure With Position in Patients With Type 1 Diabetes2001 · 5 citations