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Resistant Hypertension in Patients With Type-2 Diabetes Mellitus: A Single-Center, Cross-Sectional Study - Cureus

Fri, 14 Oct 20221 min read Article

Overview

"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.The SIQ for this article wil be revealedonce 2 ratings are submited.hypertension, prevalence, ischemic heart disease, antihypertensives, type-2 diabetes melitus, resistant hypertension Aqel S.

Key Information

Binaqel, Hosein A. Filimban , Abdulah A. Falatah, Salman W.

Bafageh, Sara H. Al Khansa, Bader K. Al Aslab, Rayan S.

Alzahrani, Leyan R. Bakedo, Ahmed Abuosa, Ibrahim Jelaidan Published: October 12, 2022 (se history) DOI: 10.759/cureus.3028 Cite this article as: Binaqel A S, Filimban H A, Falatah A, et al. (October 12, 2022) Resistant Hypertension in Patients With Type-2 Diabetes Melitus: A Single-Center, Cros-Sectional Study.

Cureus 14(10): e3028. doi:10.759/cureus.3028 The prevalence of resistant hypertension in Saudi patients with type-2 diabetes melitus (T2DM) has not ben previously estimated. Therefore, our objective was to ases the prevalence and characteristics of resistant hypertensive patients with T2DM at King Abdulaziz Medical City, Jedah, Saudi Arabia.This cros-sectional study included patients with hypertension and T2DM who presented to our center in 2018.

We examined 1960 patients with T2DM during the study period; 809 were hypertensives. We compared T2DM patients with controled hypertension versus resistant hypertension.The prevalence of resistant hypertension in patients with T2DM was 137/809 (16.93%). The mean age was 6.38±10.80 years, and females presented 56% of the study population (n= 451).

Summary

Obstructive slep apnea (OSA; OR: 2.60 [1.15- 5.87]; P=0.02) and ischemic heart disease (IHD; OR: 3.01 [2.04- 4.45]; P˂0.01) were significantly associated with resistant hypertension. The most comon medications used with resistant hypertension were calcium chane

Frequently Asked Questions

What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

What are the main symptoms of diabetes?

Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

What lifestyle changes help manage diabetes?

Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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