In many diabetics in addition to the metabolic disease diabetes additionally high blood pressure. Diabetes and high blood pressure increase the risk of subsequent damage - especially to the cardiovascular system and the kidneys. Therefore, not only should the diabetes be well adjusted, but also the blood pressure should be effectively lowered. About 20 percent of type 1 diabetics and 75 percent of type 2 diabetics suffer from increased blood pressure (hypertension), ie values above 140/90 mmHg.
Consequences of hypertension
In some cases, hypertension causes dramatic changes in the heart and blood vessels: heart attacks, aneurysms and strokes can be triggered by high blood pressure. Another consequence may be impaired renal function. The big problem: A kidney function disorder can lead to high blood pressure. Conversely, a high blood pressure in the long run leads to kidney damage - so begins for many sufferers a veritable vicious circle.
Hypertension and diabetes thus act synergistically for the development of serious sequelae. Thus, a diabetic with hypertension to a nondiabetic with normal blood pressure four times higher risk of heart attack or stroke to die or die from it.
Guide values in the treatment
Therefore, effective treatment of hypertension is enormously important. The blood pressure should be lowered so far as tolerable in the diabetic to a value below 135/85 mmHg, in a diabetic with increased protein excretion under 130/80 mmHg.
The blood pressure measurement
An important measure in the treatment of high blood pressure is the regular blood pressure measurement. The measured values should then be documented in the diabetic diary. A regular check-up is necessary because only then can the blood pressure be recorded under everyday conditions and the doctor receives all important information for optimal treatment. The doctor then sets the individual therapy goal, taking into account all factors.
Properly measure blood pressure
In order to obtain comparable values, the blood pressure should always be measured under the same conditions.
- Always measure your blood pressure in the morning and evening at the same time, before meals and before taking antihypertensive tablets.
- Always wait at least 2 to 3 minutes for the measurement to settle. Sit in a relaxed posture during the measurement.
- As long as the measurement is running you should not speak and not move.
What else can you do ...
- Losing weight also helps your blood pressure.
- Use sparingly with table salt. Use herbs, vinegar or lemons for seasoning instead.
- Smoking damages the vessels - therefore you should no longer smoke with high blood pressure.
- Healthy diet is also very important. Eat a lot of carbs with plenty of fiber, but less fat and protein.
- Less alcohol also thanks you for your blood pressure.
- Exercise is healthy. Well suited are light endurance sports such as hiking, cycling or swimming.
- Follow your doctor's instructions and take the correct course of taking your tablets.