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
