Title*:
THE CHOICE OF HYPOGLYCAEMIC AGENT RATHER THAN GLYCAEMIC CONTROL IMPROVES INFLAMMATION: A RANDOMIZED TRIAL OF FOUR DIFFERENT TREATMENT REGIMENS IN POORLY CONTROLLLED TYPE 2 DIABETES MELLITUS PATIENTS

Authors: Idris I National University of Malaysia

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Background and Aims.Nephropathy affects diabetic patient and antihypertensive treatment has been shown to retard its progression . Hypertension should be treated aggressively in diabetic patient particularly if there is evidence of renal disease. This report focuses specially on the assessment of BP and management of hypertension in diabetic patient. Materials and Methods.: This is a retrospective study to assess hypertension in diabetic patient. Data Collection is done from 100 client document which were refer to moosabne jafar hospital which diagnosed type two diabetes. In this research BP ?140 / 90 or usage of antihypertensive drugs equivalent of hypertension. Results.: 70% had hypertension. Mean of age, FBS and BP at the firs and last day of residence was 62/9 years, 270/8 and 167/5 mg/dl, 129/77 and 120/75 mmHg.50% of patient used ACE agent and 30% used adalat and lasix. Most of them at least complain of one of these problem : CVA, IHD, DVT, CRF, CHF, Chest pain, and paresthesia. Conclusion.: Hypertension in diabetic patient is associated with accelerated progression of both micro vascular (retinopathy and nephropathy) and macro vascular (arteriosclerosis) complication. Diabetic nephropathy is now the leading cause of ESRD and medical treatment has been shown to retarded its progression. The aim of blood pressure reduction includes retardation of progression and prevention of diabetic complication. ACE agent is one of the best medication in this patient