Author(s): Narendra Hiregoudar1, Uday Shubash Bande2, Basavraj Baligar3, Abhishek M. S4
People with type II diabetes have altered circadian rhythm of blood pressure and are associated with increased risk of cardiovascular and renal morbidity and mortality. Our study aimed to explain the Ambulatory Blood Pressure Monitoring (ABPM) characteristics or patterns in diabetic patients with hypertension.
MATERIALS AND METHODS
70 patients with type II diabetes and hypertension were monitored with 24 hours ambulatory blood pressure changes and the data was analysed.
Normal dipping was observed in 38.6%, non-dipping in 47.1%, extreme dipping in 2.9% and 11.4% were reverse dippers in patients having type 2 diabetes and hypertension.
We conclude that there was a remarkably high prevalence of alterations in ABPM in patients with diabetes. Abnormalities in systolic BP during night and in circadian BP pattern could be linked with excess of BP related cardio vascular risk of diabetes.