Diabetics should monitor their blood pressure

100 diabetics who had normal blood pressure were studied.
These patients had fluctuations in the blood pressure which are as follows

• Early morning rise
• Night time surge (Nocturnal hypertension)
• Fluctuations during the 24 hr period

Such variations were associated with

• Albumin in urine
• High HbA1C (Average blood sugar during the last 3 months

Do they need medicines to lower the blood pressure?
No. 
These patients are not hypertensives.


But they should monitor their blood pressure at home 


Ambulatory blood pressure monitoring:

Use the same arm. Place the cuff on bare skin, not over clothing. 

Rest your arm,on a table raised to the level of your heart. If needed, place a pillow under your arm to elevate it to the level of heart

P.S.

These variations in B.P. will stop when we control our diabetes.

• Reduce weight and abdominal circumference
• Reduce calories
• Stop eating out

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