Diabetes, High Blood Pressure And Kidney Disease
If you or someone in your family has diabetes, high blood pressure or a history of kidney disease, you could be at risk for developing kidney disease. The silent partnership Diabetes and high blood pressure are sometimes called “silent killers,” because many people don’t know they have these diseases; therefore they are not getting treatment. Uncontrolled diabetes and/or uncontrolled high blood pressure can lead to chronic kidney disease (CKD). Below are facts to note: 6 percent of the U.S. population has diabetes, the number one cause of kidney disease 1 in 4 Americans has high blood pressure, the second leading cause of kidney disease Anyone with diabetes, high blood pressure or a family history of these conditions is at risk for kidney disease 20 million Americans, 1 in 10 adults, have kidney disease 20 million more Americans are at risk for kidney disease but don’t know it African Americans, Latinos, Hispanics, Pacific Islanders, Native Americans and seniors (those 65 and over) are at increased risk of developing kidney disease Preventing and delaying chronic kidney disease Together, diabetes and high blood pressure account for two/thirds of all cases of chronic kidney disease (CKD). CKD develops when the kidneys lose most of their ability to remove waste and maintain fluid and chemical balances in the body. CKD can progress quickly or take many years to develop. Anyone with diabetes and/or high blood pressure can take steps to try and prevent kidney disease, and those who already have CKD can try and slow down the process. Early detection, keeping blood sugar levels and blood pressure under control, living a healthy lifestyle and education may help prevent or delay kidney disease from progressing to kidney failure. Related articles on DaVita.com Continue reading >>
High Blood Pressure
Blood pressure is a measurement of the force of your blood against the blood vessel walls. There are often no signs of high blood pressure. This means that you may have high blood pressure and not know it. The recommended target for people with diabetes is less than 130/80 mm Hg. The top number is the pressure when your heart contracts and pushes blood out (systolic). The bottom number is the pressure when the heart relaxes between beats (diastolic). Why is controlling blood pressure important for people with diabetes? When blood pressure is high, it puts stress on the body. This can cause damage to the heart, brain, kidneys, and eyes. High blood glucose levels are a risk factor for hypertension (high blood pressure) as it can lead to hardening of the arteries. Compared to people without diabetes, people with diabetes are much more likely to develop heart disease and/or experience a stroke at an earlier age. If you have diabetes, get your blood pressure checked every time you visit your health-care team. Am I doing all that I can to control my blood pressure? Do I have my blood pressure checked every time I visit my health-care team? Am I at a healthy weight? Do I follow a healthy diet that includes vegetables, fruits, low-fat dairy products, and is low in sodium and saturated and trans fats? Am I physically active on a regular basis? Am I a non-smoker? Do I manage stress in a healthy way? Do I limit my alcohol intake? Do I take my medication as prescribed? Strategies to lower blood pressure Try these healthy eating tips: Choose vegetables and fruits more often (fresh or frozen without added salt). Choose low-fat (one per cent or skim) dairy products. Choose legumes (dried beans, peas and lentils) more often. Rinse canned beans with water. Choose whole grains such as wh Continue reading >>
How Does Blood Pressure Affect A Person's Blood Sugar In A Diabetic?
Two out of every three adult diabetics have high blood pressure, according to the American Diabetes Association. The condition forces your heart to work harder, and your risk for heart disease, stroke and hardening of the arteries increases as a result. In most cases, poorly controlled blood sugar has a negative effect on your blood pressure, but there are a number of mechanisms by which your blood pressure can affect your blood sugar. In either case, controlling blood pressure is as important as controlling blood sugar for a diabetic. Video of the Day In many cases of diabetes, blood sugar affects the blood pressure. When glucose stays in your bloodstream too long, it can act like a slow poison, according to the National Kidney Disease Education Program. Uncontrolled blood sugar can damage the nephrons, the functional units of your kidneys that play a role in regulating your blood pressure. This can cause high blood pressure. Diabetes and high blood pressure are the main causes of kidney disease. Because of the risks for hypertension and heart disease, the American Diabetes Association recommends diabetics strive for a lower blood pressure reading, 130/80 mmHg, than that of the general public. In rare cases, diabetes and low blood sugar can cause hypotension, or low blood pressure. Although the link is somewhat controversial, a report by the Diabetes Action Research & Education Foundation said that both acute and chronic stress can trigger high blood pressure. Stress response can also increase your blood sugar. In cases of acute stress, the blood sugar’s rise is helpful. It fuels your brain to respond to the immediate crisis. However, ongoing stress can keep your blood sugar levels elevated, according to a report published by the Wellmark Foundation. Some public heal Continue reading >>
High Blood Pressure And Kidney Disease In Children
High blood pressure is common in children with chronic kidney disease (CKD). Because of their young age when they develop CKD and high blood pressure, there is a high risk that these children may eventually have heart problems and a worsening of CKD. It is very important for children with CKD to be checked for high blood pressure. Early detection and treatment of high blood pressure helps to reduce the chance of these complications. This fact sheet is written for parents of children with CKD. The booklet will tell you what you need to know about detection and treatment of high blood pressure in your child. What is chronic kidney disease? Chronic kidney disease means that the kidneys have been damaged by diseases such as the ones listed in the next question. As a result, the kidneys are less able to do the following jobs to help maintain health: Remove wastes and extra fluid from the body Release hormones that: control blood pressure prevent anemia (low blood count) promote strong bones Make hormones that promote normal growth and development in children Keep the right balance of important chemicals in the blood, such as sodium, potassium, phosphorus and calcium. Maintain the body’s balance of acids and bases. When the kidneys are not working well, wastes can build to high levels in the blood, causing symptoms such as swelling of the hands and feet, nausea and vomiting, fatigue and poor appetite. Complications may develop such as high blood pressure, anemia, weak bones, poor nutritional health, growth failure and nerve damage. Kidney disease also increases the chance of developing heart and blood vessel disease. These problems may happen slowly over a long period of time, often without symptoms. CKD may eventually lead to kidney failure and require dialysis or a kidney Continue reading >>
High blood sugar (glucose) that circulates in the bloodstream instead of being absorbed into cells damages nerves and blood vessels throughout the body and, ultimately, the major organs such as the kidneys and heart. It has been said that there isn’t a system in the body that isn’t affected by diabetes. The good news is that diabetes can be managed and the risk of developing complications significantly reduced. A nationwide study conducted from 1983-1993 called the Diabetes Control and Complications Trial showed that when blood sugar levels are checked consistently throughout the day – and kept close to normal – complications of the disease can be reduced by as much as 70 percent. This method is also referred to as "tight control" of blood sugar and has become standard of care in diabetes management. Diabetic Neuropathy (Nerve Damage) Approximately 60-70 percent of people with diabetes have mild to severe forms of nerve damage. Often the first symptoms of diabetes are tingling, numbness or pain in some part of the body, which is an indication that nerves have been damaged. Neuropathy from diabetes can affect many different parts of the body, including the lower limbs (legs, feet), the bladder and the gastrointestinal tract. Several theories exist as to why diabetes has such a devastating effect on the nervous system. One theory holds that excess sugar in the bloodstream reacts negatively with an enzyme in the cells surrounding the nerves and damages them. Another theory suggests that decreased blood flow to nerves, from damaged blood vessels caused by diabetes, results in neuropathy. In general, there are three types of neuropathy: sensory, autonomic and motor. Sensory neuropathy is the most common, affecting how we perceive temperature, texture and pain. Autono Continue reading >>
What Are The Symptoms Of High Blood Pressure?
If you are looking for a list of symptoms and signs of high blood pressure (HBP or hypertension), you won’t find them here. This is because most of the time, there are none. Myth: People with high blood pressure will experience symptoms, like nervousness, sweating, difficulty sleeping or facial flushing. Truth: High blood pressure is a largely symptomless “silent killer.” If you ignore your blood pressure because you think a certain symptom or sign will alert you to the problem, you are taking a dangerous chance with your life. DO NOT attempt to diagnose yourself. Clinical diagnosis should only be made by a healthcare professional. Know your blood pressure numbers and make changes that matter to protect your health. In most cases, high blood pressure does not cause headaches or nosebleeds The best evidence indicates that high blood pressure does not cause headaches or nosebleeds, except in the case of hypertensive crisis, a medical emergency when blood pressure is 180/120 mm Hg or higher. If your blood pressure is unusually high AND you have headache or nosebleed and are feeling unwell, wait five minutes and retest. If your reading remains at 180/120 mm Hg or higher, call 9-1-1. If you are experiencing severe headaches or nosebleeds and are otherwise unwell, contact your doctor as they could be symptoms of other health conditions. Other inconclusively related symptoms A variety of symptoms may be indirectly related to, but are not always caused by, high blood pressure, such as: Blood spots in the eyes Blood spots in the eyes (subconjunctival hemorrhage) are more common in people with diabetes or high blood pressure, but neither condition causes the blood spots. Floaters in the eyes are also not related to high blood pressure. However, an eye doctor (ophthalmologis Continue reading >>
High Blood Pressure In Diabetic Pets
I’m the first one to admit that I’m not up on pop culture. I’m not as hip as I once was, if I ever was! After 23 years as a veterinarian, it seems there isn’t enough time in the day to learn all we have to know! Medicine is advancing so quickly. So I study. A lot. And the other day I came across a startling statistic: 46% of diabetic dogs have hypertension (high blood pressure). In fact, several hormonal diseases can cause high blood pressure in pets. Of course I had to write an article about it for my loyal ADW followers! In general vets are better about checking blood pressure than we have been in the past. Even so, I know there are a lot of veterinarians who don’t check a pet’s blood pressure unless a pet is under anesthesia. Some veterinarians are superstars and check blood pressure on all senior patients. And some vets check blood pressure for the “high risk” groups like patients with kidney disease, heart disease and liver disease. Well, we can now lump diabetics (and pets with other hormonal diseases like cushings disease or thyroid disease) into the high risk category. I read about pet diabetes all the time and was really surprised that 46% of diabetic dogs have hypertension. Be proactive. Ask your vet to check your diabetic pet’s blood pressure. And do it before the vet’s nursing staff has done anything else like taking temperatures and other such “torture”. We don’t wish to artificially elevate the blood pressure with “white coat syndrome”! As always, step back ten feet and assess the situation. If we wish to control hypertension secondary to diabetes, it makes sense to control the underlying disease process! If you know you can do better, perhaps even feel guilty that you routinely miss doses of insulin or don’t run blood gluco Continue reading >>
Diabetes And Hypertension: Is There A Common Metabolic Pathway?
Go to: Etiology Genetics Genome scans involving thousands of subjects and controls have revealed a large number of genes with small effects, as opposed to a small number of genes with large effects anticipated originally [5, 6]. Genetic variants in the gene encoding angiotensinogen, adrenomedullin, apolipoprotein, and α-adducin have been reported to be associated with common conditions such as diabetes, hypertension, dysglycemia, or metabolic syndrome [7–10]. In Hong Kong studies of single nucleotide polymorphisms (SNPs), SNPs that predict the development of diabetes were found also to predict the development of hypertension [11–14]. In genome scans in Hong Kong Chinese individuals, the region associated with diabetes was also associated with the metabolic syndrome, which includes hypertension as a component [15, 16]. A recent study at Columbia University on somatic gene conversion and deletion suggested that multitudes of common SNPs are involved [17•]. Besides the genetic aspect, another very important aspect for the onset of diabetes and hypertension is environmental. Environmental factors include the period in utero and lifestyle factors such as diet and physical activity. Gestational diabetes, fetal malnutrition, and high birth weight are three factors that may predispose the fetus to cardiometabolic syndrome in adulthood [18, 19•, 20]. High intake of sodium, alcohol, and unsaturated fat, smoking, lack of physical activity, and mental stress are examples of an unhealthy lifestyle. It is now realized that insulin resistance, which predicts type 2 diabetes, also has a role in the development of hypertension . Indeed, hypertension and diabetes substantially share common pathways such as obesity, inflammation, oxidative stress, insulin resistance, and ment Continue reading >>
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Diabetes And High Blood Pressure: How To Manage Both
Type 2 diabetes and high blood pressure (hypertension) are a dangerous combination, putting your health in jeopardy in a number of ways. That means it's crucial to take steps to control high blood pressure when you have diabetes. To start, having type 2 diabetes increases your risk for developing high blood pressure. High blood pressure is a heart disease risk factor on its own, and when you also have diabetes, having high blood pressure puts you at even greater risk. For example, for people who have diabetes, the risk of heart disease increases twofold in men and fourfold in women compared to people without diabetes. If you have diabetes and high blood pressure, your risk of heart disease doubles over that of a person who has high blood pressure alone. “There’s no doubt that diabetes and high blood pressure are a dangerous duo. They’re both very common and are linked by obesity, which is also very common. Nearly half of all people diagnosed with type 2 diabetes have high blood pressure at the time of their diagnosis,” says Betul Hatipoglu, MD, an endocrinologist at the Cleveland Clinic in Ohio. How Diabetes Increase Your Risk of High Blood Pressure Type 2 diabetes is caused by resistance to insulin, the hormone your body needs to use blood sugar for energy. When you have type 2 diabetes, since your body resists insulin, sugar builds up in your blood. “That means your body makes even more insulin, and insulin causes your body to retain salt and fluids, which is one way diabetes increases your risk for high blood pressure,” Dr. Hatipoglu says. For this reason, it’s important to check your blood pressure regularly, just like it is for you to check your blood sugar. Follow your doctor’s recommendations for how often to do both. Blood pressure is measured by Continue reading >>
Diabetes And Hypertension: What Is The Relationship?
Hypertension, also known as high blood pressure, often affects people with type 1 and type 2 diabetes. The American Diabetes Association reports that from 2000 to 2012, 71 percent of adults with diabetes had a blood pressure of greater or equal to 140/90 or were taking medications to help normalize blood pressure. What are hypertension and diabetes Many people with diabetes also have hypertension, or high blood pressure. Having these conditions together can make them both worse. What is hypertension? Known the "silent killer," hypertension usually has no signs or symptoms and many people are not aware they have it. High blood pressure increases a person's risk of stroke and heart attack. It often occurs with diabetes. Blood pressure is measured in millimeters of mercury (mm Hg) and can be assessed using a blood pressure monitor. Two numbers will be produced. The first refers to the systolic blood pressure, or the highest level of the blood pressure during a heartbeat. The second, the diastolic blood pressure, points to the lowest level. Any blood pressure reading of less than or equal to 119/79 is considered normal. A reading between 120 and 139 for systolic pressure and between 80 and 89 for diastolic pressure is considered prehypertension. This is a sign of possible hypertension if a person does not take preventive steps. A doctor will diagnose a reading of 140/90 mm Hg or higher as high blood pressure. People can control hypertension with healthy lifestyle habits. These can include exercise and a low-fat, low-sodium diet. If necessary, a person with hypertension may reduce their blood pressure using medication. What is diabetes? Diabetes occurs when blood sugar increases because the body cannot use the glucose properly. This happens when there a problem with insulin Continue reading >>
High Blood Pressure: Does It Lead To Diabetes?
"Study gives strongest link yet between blood pressure and diabetes," says The Guardian. At first glance these might be considered two unconnected conditions, but research over the years has led to diabetes being classified as a risk factor for cardiovascular disease. Researchers looked at data on more than 4 million people in the UK who were free of any vascular disease or diabetes. They then analysed these people's medical records for around seven years and recorded new cases of diabetes and changes in blood pressure. People with high blood pressure were found to have around a 50% increased risk of developing type 2 diabetes. The researchers then backed up their findings by looking at previous research and found a risk of more than 70%. While these types of studies can't prove increased blood pressure causes diabetes, they lend weight to the advice to take steps to lower your blood pressure if it's high to reduce your risk of diabetes. Read our advice on how to look after your heart and circulation. Where did the story come from? The study was carried out by researchers from the University of Oxford and was funded by the UK National Institute for Health Research. It was published in the peer-reviewed Journal of the American College of Cardiology. This story has been reported widely in the media. Both The Guardian and The Independent have responsibly provided quotes from one of the researchers, who explained the findings tell us a link exists, but we don't know whether high blood pressure is a cause of diabetes or whether it's a risk factor. What kind of research was this? This was a large cohort study and systematic review with meta-analysis to determine whether there is an association between blood pressure and type 2 diabetes. While the cohort study cannot prove cau Continue reading >>
Diabetes And High Blood Pressure
Diabetes is a condition in which the amount of glucose (sugar) in your blood is too high because your body cannot use it properly. This happens because your body either cannot use or make a hormone called insulin, which is responsible for turning sugar into food for your body's cells. There are two main types of diabetes: Type 1, where your body is unable to produce any insulin Type 2, where your body either does not produce enough insulin, or cannot use it. Symptoms of diabetes The main symptoms of diabetes are: Increased thirst Frequently needing to go to the toilet, especially at night Extreme tiredness Weight loss Blurred vision Genital itching Thrush If diabetes is not controlled, it can cause serious damage to your kidneys, eyes, nervous system, heart and blood vessels. Treatment for diabetes aims to avoid this by keeping blood sugar levels as near to normal as possible. Type 1 diabetes is usually treated by insulin injections, as well as healthy eating and being active. Type 2 diabetes is usually treated by healthy eating and being active alone, but sometimes tablets or insulin injections are also needed. Diabetes and high blood pressure About 25% of people with Type 1 diabetes and 80% of people with Type 2 diabetes have high blood pressure. Having diabetes raises your risk of heart disease, stroke, kidney disease and other health problems. Having high blood pressure also raises this risk. If you have diabetes and high blood pressure together, this raises your risk of health problems even more. If you have diabetes, your doctor will want to be sure that your blood pressure is very well controlled. This means that they will probably want your blood pressure to be below 130 over 80. People with diabetes and high blood pressure are sometimes given the blood pressure Continue reading >>
High Blood Pressure 'increases Risk Of Diabetes By 60%'
INDYPULSE High blood pressure 'increases risk of diabetes by 60%' Having high blood pressure raises your risk of developing diabetes by 60 per cent, a major global study has confirmed. Although a well-known risk factor for heart disease and stroke, the links between high blood pressure and diabetes had been less certain. Now a team of researchers have confirmed the connection following a trawl through more than four million patient records. The study does not show that high blood pressure causes diabetes, but the researchers said that conclusive evidence of the link between the two was a possible “game-changer” which could lead to better treatment. High blood pressure is often linked to obesity, which is one of the main risk factors for type 2 diabetes. Professor Kazem Rahimi, deputy director of the George Institute for Global Health, who led the research, said people with diabetes were also more likely to suffer from heart attacks, stroke and heart failure. “Confirming this connection reliably provides new hope for those people and new avenues for research,” he said. “Understanding the link will help us better communicate risks to patients and can provide another motivation for patients and doctors to aim for tight blood pressure control.” The study is published in the Journal of the American College of Cardiology. High blood pressure can be prevented by eating healthily, watching our weight, getting exercise, not drinking too much alcohol and not smoking. Rates of diabetes in the UK have soared by nearly 60 per cent in the past decade, according to the charity Diabetes UK and treating the condition and its many potential complications costs the NHS an estimated £10bn a year. The increase is thought to be a consequence of growing rates of overweight and ob Continue reading >>
Do You Suffer From Acid Reflux Or Diabetes?
Do you have High Blood Pressure? Sleep Apnea may be a factor. Sleep apnea is a condition that affects many people, from young to old, and shows no preference between males and females. This condition can lead to devastating side effects if it is left untreated. Unfortunately, most people are not aware of any sleep issues and therefore this deadly condition goes unnoticed and untreated. Did you know that 1/3 of all Americans have sleep disorders during their lives? Considering 1 in 3 people in our country are affected by this condition, I feel sleep apnea is something that everyone should educate themselves on. Sleep apnea is serious sleep disorder in which breathing repeatedly stops, sometimes for 10 seconds or more, throughout the night. Your brain and heart don’t receive enough oxygen as a result of obstructive sleep apnea. This generally leads to increased blood pressure and heart rate, and can put you at greater risk of heart attack and stroke. Other associated disorders are diabetes, heart disease, and gastric reflux (G.E.R.D.). The effects of sleep apnea are varied but there is one proven and very dangerous side effect. When a person suffers from sleep apnea, their body is not getting the oxygen it needs in order to function properly. Here is how sleep apnea affects some of the above-mentioned conditions: High Blood Pressure (Hypertension): Many patients with sleep apnea have been found to have high blood pressure due to the extra work that the heart gets in order to compensate for the lack of oxygen. If the condition is not treated, the strength of the heart will deteriorate and the heart will begin pumping blood at a much lower force than is necessary to continue the proper function of the body. The heart is the first organ that experiences the results of untr Continue reading >>
The Facts Diabetes is a condition where people don't produce enough insulin to meet their body's needs and/or their cells don't respond properly to insulin. Insulin is important because it moves glucose, a simple sugar, into the body's cells from the blood. It also has a number of other effects on metabolism. The food that people eat provides the body with glucose, which is used by the cells as a source of energy. If insulin isn't available or doesn't work correctly to move glucose from the blood into cells, glucose will stay in the blood. High blood glucose levels are toxic, and cells that don't get glucose are lacking the fuel they need. There are two main kinds of diabetes: type 1 diabetes and type 2 diabetes. More than 90% of all people with diabetes have type 2. A 2015 Canadian Diabetes Association (CDA) report estimated that about 3.4 million Canadians have diabetes. Only about two-thirds of people with type 2 diabetes are aware of it and are receiving treatment because, for many people, early symptoms are not noticeable without testing. Type 1 diabetes occurs when the pancreas cannot make insulin. Everyone with type 1 diabetes requires insulin injections. Type 2 diabetes occurs when the pancreas does not make enough insulin or the body does not use insulin properly. It usually occurs in adults, although in some cases children may be affected. People with type 2 diabetes usually have a family history of this condition and are most often overweight. People with type 2 diabetes may eventually need insulin injections. This condition occurs most commonly in people of First Nations descent, Hispanics, and North Americans of African descent. Another less common form is gestational diabetes, a temporary condition that occurs during pregnancy. According to the CDA, depend Continue reading >>
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