Dietary approach for the treatment of arterial hypertension in patients with diabetes mellitus

被引：0

作者：

Barcellos, Pedro Augusto M. ^{[1
]}

Dall'Agnol, Angelica ^{[1
]}

Sandi, Giovanna M. ^{[1
]}

Remonti, Luciana R. ^{[2
]}

Silveiro, Sandra P. ^{[1
,2
,3
]}

机构：

[1] Univ Fed Rio Grande do Sul, Grad Program Med Sci Endocrinol, Porto Alegre, Brazil

[2] Hosp Clin Porto Alegre, Endocrine Unit, Porto Alegre, RS, Brazil

[3] HCPA, Ctr Pesquisa Expt, Endocrine Unit, Rua Ramiro Barcelos 2350,48 andar, BR-90035003 Porto Alegre, RS, Brazil

来源：

JOURNAL OF HYPERTENSION | 2024年 / 42卷 / 04期

关键词：

blood pressure; diabetes mellitus; dietary approach; hypertension; treatment; DOSE-RESPONSE METAANALYSIS; BLOOD-PRESSURE; ALCOHOL-CONSUMPTION; CARDIOVASCULAR OUTCOMES; VEGETABLE CONSUMPTION; COFFEE CONSUMPTION; HEART-DISEASE; RISK; POTASSIUM; COMBINATION;

D O I：

10.1097/HJH.0000000000003674

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

The association of hypertension and diabetes mellitus is extremely common, increasing the mortality risk of patients, mainly by cardiovascular causes. Regarding the blood pressure (BP) targets to be achieved, most guidelines suggest levels of 130 mmHg for SBP and of 80 mmHg for DBP. Dietary modifications are quite effective, and many studies suggest that decreasing sodium intake and increasing potassium ingestion are both valuable practices for reducing BP. This can be achieved by stimulating the ingestion of lacteous products, vegetables, and nuts. As for the ideal pharmacologic treatment for hypertension, either calcium channel blockers, diuretics or angiotensin-system blockers can be the first class of drug to be used. In this review, we summarize the evaluation of patients with diabetes mellitus and hypertension, and discuss the available therapeutic approaches, with emphasis on evidence-based dietary recommendations.

引用

页码：583 / 593

页数：11

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