70 y-o diabetes mellitus type 2 hypertension - Twothirds of patients with type 2 diabetes melitus normal diabetes mellitus T2DM have arterial hypertension Hypertension increases the incidence of both micro and macrovascular complications in these patients while the coexistence of these two major risk factors leads to a fourfold increased risk for cardiovascular disease CVD compared with normotensive nondiabetic controls Diabetes is a highly prevalent health condition in the aging population Over onequarter of people over the age of 65 years have diabetes and onehalf of older adults have prediabetes 12 and the number of older adults living with these conditions is expected to increase rapidly in the coming decadesDiabetes management in older adults requires regular assessment of medical psychological Treatment of type 2 diabetes mellitus in the older patient King P Peacock I Donnelly R The UK prospective diabetes study UKPDS clinical and therapeutic implications for type 2 diabetes Br J Clin Pharmacol 1999485643648 PMC free article Google Scholar 8 Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension Type 2 Diabetes and Hypertension Circulation Research AHAASA Journals Additionally a prospective cohort study of 12 550 adults 45 to 64 years old found that type 2 diabetes was almost 25 times as likely to develop in patients with hypertension as in those with normal blood pressure 35 Data from the ARIC study Atherosclerosis Risk in Communities the CARDIA study Coronary Artery Risk Development in Young Hypertension in older adults Assessment management and challenges Blood pressure targets for hypertension in patients with type 2 diabetes Hypertension in Diabetes An Update of Basic Mechanisms and Clinical The prevalence of type 2 diabetes increases as individuals age and exaggerates the incidence of both microvascular and macrovascular complications Clinicians should perform regular screening for prediabetes and diabetes in the older population and implement interventions as indicated in this guideline Life expectancy has increased over the years and the world population is getting apakah obat diabetes bermanfaat older Hypertension is very common in elderly people 60 years of age reaching a prevalence of 6080 in individuals in the US The rate of events in the elderly is high and despite the fact that the association between BP levels and CV events is less steep in the elderly than in the young the impact Thiazolidinediones in the treatment of type 2 diabetes mellitus Treatment of hypertension in older adults particularly isolated systolic hypertension 54 to 70 mgdL 3 to 39 mmolL than those in the control group 29 versus 19 underscoring the need to consider empiric reductions in glucose lowering therapy prior to an Treatment of Diabetes in Older Adults Guideline Resources Hypertension and Diabetes Mellitus Hypertension AHAASA Journals The National Institute for Health and Care Excellence 2011 Type 2 Diabetes in Adults Management 2015 This guideline recommends treating adults with type 2 diabetes and arterial hypertension to achieve blood pressure 14080 mmHg 13080 mmHg if there is kidney eye or cerebrovascular damage What Should Be the Target Blood Pressure in Elderly Patients With Diabetes Hypertension in patients with type 2 diabetes mellitus PubMed 12 Older Adults Standards of Medical Care in Diabetes2021 Type 2 diabetes mellitus T2D and hypertension the 2 leading components of the global burden of disease are commonly found to coexist 13 The coexistence of T2D and hypertension confers a dramatically increased risk 2 to 4fold of cardiovascular disease endstage kidney disease and death compared with the normotensive and nondiabetic adults 3 Hence understanding the bidirectional Diabetes mellitus and hypertension are among the most common diseases and cardiovascular risk factors respectively worldwide and their frequency increases with increasing age 1 Elevated blood pressure BP values are a common finding in patients with type 2 diabetes mellitus T2D and are thought to reflect at least in part the impact of the underlying obat gatal buat diabetes insulin resistance on the
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