CHARACTERISTIC CHANGES IN ARTERIAL VESSELS IN TYPE 2 DIABETES MELLITUS
Ключевые слова:
Diabetes mellitus, arterial hypertension, arterial stiffness, cardiovascular system, insulin, hyperglycemiaАннотация
In patients with diabetes mellitus (DM), long-term inadequate control of hyperglycemia leads to many complications, mainly associated with damage to small and / or large vessels (micro- and macroangiopathies). Arterial hypertension occurs in patients with diabetes mellitus approximately 2 times more often than in the general population. The frequency of arterial hypertension among patients with diabetes ranges from 20 to 60%, depending on the criteria used for high blood pressure (BP) and the type of diabetes. Arterial hypertension has a significant effect on the fate of patients with diabetes, significantly increasing the risk of developing cardiovascular and renal complications, which are the main causes of their premature death. So, according to the Framingham study, arterial hypertension 5 times increases mortality among patients with diabetes. In patients with diabetes mellitus with arterial hypertension, effective drug therapy significantly prevents the development of cardiovascular complications and renal failure.
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