Vnitr Lek 2003, 49(12):935-937

[Hypertension and diabetes--current views on specific questions].

M Kvapil: Interní klinika 2. lékarské fakulty UK a FN Motol, Praha.

Klíčová slova: Diabetes Mellitus, Type 2, complications, ; Diabetic Angiopathies, drug therapy, ; Humans; Hypertension, drug therapy,

Hypertension in patients with diabetes is proved to be connected with early development of macrovascular and atherosclerotic complications, increased incidence of heart failures, and development and progression of microangiopathic complications. We start interventions in diabetics when blood pressure values reach 140/90 mm Hg. Non-pharmacological treatment is often unsuccessful, so we apply pharmacological treatment. The target value of blood pressure does not exceed 130/80 mm Hg. Monotherapy is usually insufficient. Individual drugs we choose according to attendant complications, according to a potential benefit from affecting individual risks for a patient's prognosis.