Diabetes mellitus, hypertension and kidney

Česká verzia

Authors: V. Monhart
Authors place of work: Interní klinika 1. lékařské fakulty UK a ÚVN Praha, přednosta prof. MUDr. Miroslav Zavoral, Ph. D.
Published in the journal: Vnitř Lék 2008; 54(5): 499-507
Category:

Předneseno na 9. celostátním diabetologickém sympoziu „Diabetes a urogenitální systém“ ve dnech 1.-2. června 2007 v Novém Adalbertinu v Hradci Králové

Summary

The correlations co-exist among diabetes mellitus, hypertension and the kidney. Renal injury will develop in 35% type-1 and type-2 diabetes mellitus patients. Diabetic nephropathy is the key factor for the occurence of hypertension in type-1 diabetes mellitus. In case of type-2 diabetes mellitus with prevalent essencial hypertension the diabetic nephropathy is supporting factor for the development of hypertension. Untreated or inadequately treated hypertension accelerates the progression of diabetic renal impairment. The presence of diabetes mellitus as well as hypertension or proteinuria is significant cardiovascular risk factor. The goal of treatment with angiotensin converting enzyme inhibitors or AT₁receptor of angiotensin II blockers is both slowing-down of renal injury progression and reduction in risk of cardiovascular complications.

Keywords:
diabetes mellitus - arterial hypertension - diabetic nephropathy - renoprotection - ACE inhibitors - AT₁blockers

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