According to , diabetes is referred as a silent killer, which may silently induce many other life threatening diseases. One of the most dangerous disease is hypertension or high blood pressure that may occur as a result of type-2 diabetes mellitus. Most of the people having diabetes for a long time, develops hypertension at any time of their life. It has been estimated that about 3 million people in America have both hypertension and diabetes. Although genetic factors and lifestyle, both have an important role in developing high blood pressure and diabetes mellitus, but diabetes mellitus change the body function to rise a chance of hypertension. If both of them coexist, the patient has a high chance of immature death (35% to 75%).
What happens in diabetes?
Diabetes mellitus is a condition when blood glucose not maintained at its normal level. Patients become hyperglycemic and hypoglycemic after meals and in fasting condition accordingly, while non-diabetic patients hold a range of blood glucose level. Diabetes mellitus is normally two types, insulin dependent diabetes mellitus (IDDM) and non-insulin dependent diabetes mellitus(NIDDM). IDDM is due to low insulin production and NIDDM is due to disturbance of glucose uptake by cells. However, in the both types of diabetes, the outcome is same, glucose level rises in blood serum. Excess glucose in blood causes fat deposition and platelet aggregation, which make the blood vessel narrower. It may also origins some other physical complications like kidney failure, cataract, stroke, heart attack and even heart failure.
What happens in hypertension?
Everyone knows hypertension is the raised pressure of the blood on the arterial walls. When blood volume is greater than the blood vessel space, it creates a higher pressure on the heart and the arteries. Hypertension occurs if the blood volume rises or the inner space of blood vessels becomes narrower. Hypertension leads to cardiovascular disease, the principle cause of human death worldwide. The patient’s heart becomes weaker, lose physical strengths and susceptible to other organ failure. Hypertension or high blood pressure creates blockage in the arteries and capillaries located in the heart and the brain, leads to heart attack and brain stroke.
Hypertension and diabetes
A correlation has been found between diabetes mellitus and hypertension. When diabetes persists for a long time, it’s narrower the blood vessel by fat deposition and platelet aggregation after the rapture. The narrow vessel of blood the faces higher pressure with normal blood volume. On the other hand, diabetes disturbs kidney function that promotes the release of renin (a hormone). Renin plays an important role to increase blood volume as well as increase blood pressure by the renin-angiotensin system. Narrow blood vessels and kidney problem both increase the pressure of blood, promote the patients to be hypertensive. Diabetes is such a disease that affects all organs of the human body. The patient’s heart becomes weaker, cannot pump the blood efficiently, tend to be more hypertensive. Diabetes type-1 and type-2 both affect cardiovascular system, but type-2 diabetes mellitus mainly associated with hypertension. Diabetes arises hypertension by atherosclerosis formation and makes the arteries harder.
What should be the blood pressure of a diabetic patient?
If you have diabetes mellitus, you should be more concern about your blood pressure, otherwise it will rise to at hypertensive level unwillingly. Your systolic pressure should be less than 130 mmHg and the diastolic pressure should be less than 80 mmHg. In combination it will be 130/80 mmHg. When you will try to control the blood pressure, your blood sugar level will be controlled logically.
How hypertension treated with diabetes?
Medications are used to control blood sugar level, some of them (like metformin) help to activate the insulin entry to the cell and some of them protect against organ disturbances. To control hypertension, ACE inhibitors (angiotensin converting enzyme inhibitor) and diuretics are used. ACE is an important enzyme of the renin-angiotensin system that increases blood volume. If this enzyme is inhibited, blood pressure remains in normal level with its normal volume. Diuretics are used to excrete body water by urination. Urination keeps decreasing blood volume, and patients get help from hypertension. Calcium channel blockers are also potent medications for controlling hypertension, as calcium increases blood pressure. These are common medicines, but doctors suggest some more according to the patient’s need.
Prevention methods for diabetes with hypertension
Practices of good lifestyle may keep you apart from diabetes associated hypertension. If you want to keep yourself healthy, maintain the followings.
- Avoid smoking and alcohol.
- Maintain a healthy body weight.
- Take the meal on time.
- Eat healthy food.
- Go for a walk regularly (it is better to avoid hard exercise).
- Sleep properly.
- Don’t be stressed.
- Check the blood pressure and blood glucose level regularly.