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Ambulatory Blood Pressure Monitoring in Diabetes and Obesity—A Review

By Kazuo Eguchi


Diabetes mellitus and obesity are both related to the risk of cardiovascular disease and sudden death. In hypertensive guidelines, diabetes and obesity, especially abdominal obesity, are regarded as high-risk factors. Ambulatory blood pressure monitoring (ABPM) is an established method for the management of hypertension. However, ABPM is not a standard tool for the management of hypertension in diabetes and obesity. In this paper, recent data on the use of ABPM in diabetes and obesity will be discussed. In patients with diabetes, the ambulatory BP level has been shown to be better than clinic BP in predicting cardiovascular events. A riser pattern has been associated with increased risk of cardiovascular disease. White-coat hypertension and masked hypertension in diabetics constitute a moderate risk. A nondipping pattern is very common in obese hypertensive patients. In this paper, we will summarize the findings on the use of ABPM in patients with diabetes and obesity

Topics: Review Article
Publisher: SAGE-Hindawi Access to Research
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Provided by: PubMed Central

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  1. (2005). A prognostic role of mean 24-h pulse pressure level for cardiovascular events in type 2 diabetic subjects under 60 years of age,”
  2. (2008). Ambulatory blood pressure is a better marker than clinic blood pressure in predicting cardiovascular events in patients with/without type 2 diabetes,”
  3. (2006). andK.Kario,“Impactofbloodpressurevs.glycemicfactorson target organ damage in patients with type 2 diabetes mellitus,”
  4. (2000). Association of glycaemia with macrovascular and microvascular c o m p l i c a t i o n so ft y p e2d i a b e t e s(
  5. (2009). Association of metabolic syndrome and blood pressure nondipping profile in untreated hypertension,”
  6. (2010). Association, “Diagnosis and classification of diabetes mellitus,”
  7. (2008). Cardiovascular prognosis of sustained and white-coat hypertension in patients with type 2 diabetes mellitus,”
  8. (2009). D.E.Ayala,R.C.Hermida,L.Chay´ an,A.M oj´ on,M.J .F ontao , a n dJ .R .F e r n ´ andez, “Circadian pattern of ambulatory blood pressure in untreated hypertensive tatients with and without
  9. (1996). e h t o
  10. (2010). Effects of intensive blood-pressure control in type 2 diabetes mellitus,” The New England
  11. (2007). Gender differences in ambulatory blood pressure monitoring profile in obese, overweight and normal subjects,”
  12. (2006). Global guideline for type 2 diabetes: recommendations for standard, comprehensive, and minimal care,”
  13. (2003). Greater impact of coexistence of hypertension and diabetes on silent cerebral infarcts,”
  14. (2005). Impact of obesity on 24-hour ambulatory blood pressure and hypertension,”
  15. (2006). Insulin resistance and blood pressure circadian variation in an obese hypertensive population,”
  16. (2008). K r a m e r ,C .B .L e i t
  17. (2009). Kes¨ aniemi, “Non-dipping patterninambulatorybloodpressuremonitoringisassociated with metabolic abnormalities in a random sample of middleaged subjects,”
  18. (2002). Kesani et al., “Increase in nocturnal blood pressure and progression to microalbuminuria in type 1 diabetes,” The New England
  19. (2007). Masked hypertension in diabetes mellitus: a potential risk,”
  20. (2007). Masked hypertension, urinary albumin excretion rate, and echocardiographic parameters in putatively normotensive type 2 diabetic patients,” Diabetes Care,
  21. (2006). Metabolic syndrome as a predictor of non-dipping hypertension,”
  22. (2007). Nocturnal blood pressure fall and metabolic syndrome score in hypertensive patients,”
  23. (2007). Non-dipping blood pressureinthemetabolic syndromeamong Arabs ofthe Oman family study,”
  24. (2009). Prevalence and factors associated with circadian blood pressure patterns in hypertensive patients,”
  25. (1998). Reversed circadian blood pressure rhythm is associated with occurrences of both fatal and nonfatal vascular events
  26. Short-term reproducibility of a non-dipping pattern in type 2 diabetic hypertensive patients,”
  27. (2001). Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives,”
  28. (1998). Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes:
  29. (2000). White-coat hypertension or white-coat hypertension syndrome: which is accompanied by target organ damage?”
  30. (2007). Why is blood pressure so hard to control