Over half of Chinese Han patients with new-onset hypertension have undiagnosed abnormal glucose metabolism, highlighting the need for routine metabolic screening in this population.
May support glucose screening in new-onset hypertension; hypothesis-generating for outcome benefits in prospective studies.
The aim of this study was to assess the prevalence of glucose abnormalities in a Chinese Han population with untreated new-onset hypertension. Four hundred and ninety-nine new-onset hypertensive patients without diabetes were enrolled in this study. An abnormal glucose metabolism was diagnosed in 57.1% of the new-onset hypertensive patients without previously diagnosed diabetes. Stratified by age, the prevalence of diabetes and prediabetes were increased with aging. Male sex, advanced age, higher serum triglycerides, and homeostasis model assessment of insulin resistance levels were all significantly associated with the increased risks of pre-diabetes or diabetes in new-onset hypertensive patients when analyzed by the logistic regression analysis.
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Gu et al. (2012) studied this question.
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