People With Diabetes And High Blood Pressure Are More At Risk Of Having A Heart Attack Or Stroke So It’s Important To Know How To Look After Your Blood Pressure
If you have diabetes, you need your blood pressure checked by a healthcare professional at least once a year. This check is part of your annual review.
If your blood pressure is high , you’ll need treatment to bring it down. This is because it puts a strain on your blood vessels and can damage them. This can make it harder for blood to flow around the body and reach all the vital areas it needs to, like your heart. And you’re more at risk of having a heart attack or stroke. It also puts you more at risk of developing all types ofdiabetes complications, like serious problems with your feet, your eyes and your kidneys.
There’s lots to help manage your blood pressure – because your lifestyle has a direct impact. But lots of people also need to take medication to treat high blood pressure and reduce the risk complications.
It’s really important to know that you might have high blood pressure and feel fine, because there aren’t usually any symptoms. But even if you feel healthy, high blood pressure is damaging your blood vessels and you need to get treatment. That’s why you should never miss a blood pressure check – it’s a free test and takes two minutes.
Relevance Of Abnormal Cardiac Repolarization And Lengthened Qt Interval To Cardiac Arrhythmias
In other situations, lengthening of the QT interval is a strong predictor of sudden death. The long QT syndrome is a congenital condition caused by mutations within the genes that code for proteins comprising the voltage-gated ion channels contributing to the cardiac action potential. Those affected have abnormal cardiac repolarization represented by prolonged QT on their electrocardiograms and an increased risk of sudden death due to cardiac arrhythmias . QT lengthening caused by certain therapeutic agents including antihistamines or antibiotics in susceptible individuals can also cause sudden cardiac death. Because hypoglycemia is common and sudden death is rare, abnormal cardiac repolarization alone cannot explain why hypoglycemia might lead to sudden death. Other factors that might contribute include inherited mutations or polymorphisms of genes involved in cardiac electrical activity and acquired abnormalities of other potentially relevant pathological mechanisms such as autonomic neuropathy.
Steps For Treating A Person With Symptoms Keeping Them From Being Able To Treat Themselves
Don’t hesitate to call 911. If someone is unconscious and glucagon is not available or someone does not know how to use it, call 911 immediately.
- Inject insulin
- Provide food or fluids
Can A Person With High Blood Pressure Also End Up With Bouts Of Low Blood Pressure
Dr. Laffin explains that treatment of hypertension can sometimes result in episodes of low blood pressure. In other words, the medication prescribed may lower blood pressure too much. “Additionally, certain blood pressure medications have an increased effect if you’re dehydrated,” says Dr. Laffin. “For example, ARBs and ACE-inhibitors will have more of a blood pressure lowering effect if you’re dehydrated.”
At What Point Does High Blood Pressure Cause A Problem For People With Diabetes
If your resting blood pressure level is above the targets, this puts you at an increased risk of heart and vascular problems as well as other diabetes complications, such as kidney disease and sight damage .
High blood pressure is also associated with poor circulation which increases the risk of foot ulcers and can lead to foot amputation if regular foot care is not taken.
What Puts People With Diabetes At A Higher Risk Of Bouts Of Low Blood Pressure
Diabetes and age-related changes can result in damage to your nerves involved in monitoring blood pressure as well as your reflexes that help constrict blood vessels and increase heart rate to compensate for standing up or eating a meal. Your nerve sensors in your arteries that monitor blood pressure may not work as effectively if you have diabetes — especially if you have poor blood sugar control — making them more prone to a drastic drop in blood pressure.
Understanding The Relationship Between High Blood Pressure And Type 2 Diabetes
Most people with type 2 diabetes also suffer from high blood pressure, which has very few noticeable symptoms, can lead to an enlarged heart, and further complicate and worsen your diabetes symptoms.
If you have diabetes, you’re already aware that you have to take special precautions with your blood sugar. But you may not be aware of another, often silent, problem that can go hand-in-hand with diabetes — high blood pressure or hypertension.
Tips On Monitoring And Managing High Blood Pressure With An Inflammation
A few tips to help you to monitor and manage high blood pressure with inflammation are below.
Helping yourself with early diagnosis
Self-monitoring can assist the doctor in diagnosing the high blood pressure with an inflammation quite early in comparison with the situation if there would be just occasional blood pressure readings in a medical office.
Home monitoring is very much vital if there is a problem of elevated BP.
The tracking of the treatment is necessary
The regular checking of blood pressure is essential. It is further vital to assess whether the present medications or lifestyle changes are working or not.
Encouragement of better control
Self-monitoring can also provide a stronger sense of responsibility for health to any person. It will provide significant motivation for controlling the blood pressure with the improved diet, proper medication, and even to continue with the physical activity.
Cut down the healthcare costs
Self-to monitor and managing of the high BP are proved to be essential for decreasing the number of visits you made to the doctor’s clinic. And, it can cut your total long-term healthcare cost too.
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What Is The Recommended Blood Pressure Range For People With Diabetes
It’s important to keep your blood pressure within a healthy range. This reduces your chances of your body developing further health complications.
Blood pressure should be below 140/80mmHg for people with diabetes or below 130/80mmHg if you have kidney or eye disease or any condition that affects blood vessels and blood supply to the brain. But it is important to speak to your healthcare team about your individual target.
Whilst you may not have any symptoms of high blood pressure, it can be harmful to your health if left untreated. This is due to the increased pressure placed on your heart, eyes, kidneys and other organs.
As we’ve said previously, heart attack or stroke are some of the conditions your body becomes more vulnerable to with high blood pressure. Other conditions you become more at risk of include:
- Cardiovascular dementia
- Heart failure
Hypoglycemia As A Potential Risk Factor For Sudden Death In Diabetes
Cumulating clinical and experimental evidence has shown that hypoglycemia can cause abnormal electrical activity in the heart and has strengthened the premise that hypoglycemia can provoke sudden death. High-resolution electrocardiography, which measures the QT interval precisely, in conjunction with hypoglycemic clamps to control the depth of hypoglycemia, has demonstrated lengthening of the QT interval both in diabetic and nondiabetic individuals . Clinical episodes of hypoglycemia have been shown to cause QT lengthening, measured using ambulatory ECG monitoring and simultaneous measurement of blood glucose .
Activation of the sympathoadrenal system probably drives these changes. Epinephrine infusion increases QT intervals , and ?-blocking drugs attenuate QT lengthening during experimental hypoglycemia . However, hypoglycemia induces a fall in serum potassium via sympathoadrenal activation and a direct effect of insulin, and hypoglycemia per se may have an effect by directly inhibiting cardiac ion channels that are responsible for potassium efflux during cardiac repolarization .
Common Inflammations To Watch For In People With High Blood Pressure
Some of the common inflammations that are necessary to watch in for people suffering from high blood pressure, and they are most likely chronic inflammations.
Chronic inflammation is a persistent inflammation as it creates not just a steady but at a low level in an entire body. These inflammations produce a small rise in the markers of the immune system, which is not just found in the tissue but the blood as well. This kind of inflammation requires significant monitoring amongst high blood pressure patients.
Researchers are also working for understanding the implications of chronic inflammation on the body. They have a vital role in creating a lot of problems for patients with hypertension.
Chronic inflammation even can lead to stroke and heart disease. Therefore, the prevention of these common inflammations is necessary because their inclusion in blood vessels could promote the buildup of plaque over time too.
People need to be careful of one thing that a low-grade inflammation does not have symptoms, but still, your doctor can conduct a test for C-reactive protein to identify them.
Risks Of Having An Inflammation To People With High Blood Pressure
It is a fact that inflammation has an association with elevated levels of blood pressure amongst the general population.
In rheumatoid arthritis , the inflammation levels are ten-fold higher in comparison with the general population. However, in this case, whether the relationship between blood pressure and inflammation would remain the same requires a future study. But, the assessment of the association between BP and inflammation has high significance for RA.
The risk related to cardiovascular is indeed 1.5 to 2.0 times higher in comparison with individuals from the general population. This excess risk is only because of the inflammation.
People suffering from high blood pressure would not just have symptoms associated with inflammation but even any heart-related disease. The cholesterol levels are going to be high as well for these people.
On the contrary, clinical experts who assess the high blood pressure of the patients even identify the symptoms for inflammation. Their assessment proves true that BP patients will also complain of inflammation problems.
Therefore, it is necessary for the doctors in treating not just high blood pressure of the patients but even the inflammatory issues as well.
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What Can Cause Inflammation Of The Coronary Arteries Of The Heart
The coronary artery disease of the heart can develop when all, or most of the major blood vessels that provide heart the oxygen, nutrients and blood get damaged, blocked or suffer from any disease.
The main reason because of which the coronary artery disease takes place is due to the inflammation and plaque, also identified as cholesterol-containing deposits.
When the building of plaque occurs, the coronary arteries can get narrower. As a result, the decreased blood flow can not only result in pain in the chest but also the shortness of breath , and other signs and symptoms related to other kinds of coronary artery disease.
A heart attack can also take place because of the complete coronary artery blockage.
Though the coronary heart disease gets developed over time, at least within ten years, any person would not notice the problem until he experiences a significant blockage, angina pain or a heart attack.
Though, a lot can be done for the prevention and treatment of coronary artery disease. The considerable impact of a healthy lifestyle can take place in this regard.
The leading causes of coronary artery disease are:
- High cholesterol levels
- Sedentary lifestyle
The lifestyle habits that can prove essential for treating coronary artery disease and even could help in the prevention are below.
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What Other Medications Can Accidentally Cause Low Blood Pressure
There are a variety of other medications that can unintentionally cause your blood pressure to drop, including cardiovascular drugs, diuretics, and beta blockers that are used to treat high blood pressure. Drugs used to treat erectile dysfunction can also result in low blood pressure, as can certain antidepressants, as well as medications prescribed for Parkinson’s disease.
What Are Clinical Trials For Diabetes Heart Disease And Stroke
Clinical trials—and other types of clinical studies—are part of medical research and involve people like you. When you volunteer to take part in a clinical study, you help doctors and researchers learn more about disease and improve health care for people in the future.
Researchers are studying many aspects of diabetes, heart disease, and stroke, such as
- risk factors for heart disease and stroke in specific populations, such as Black Americans with diabetes
- improved imaging techniques and tests to help diagnose and treat conditions that lead to heart attacks and stroke
- the role of genetics in diabetes, heart disease, and stroke
Risk Factors Associated With Diabetes And High Blood Pressure
Why should those with diabetes be aware of the risks of high blood pressure? Type 2 diabetes is caused by resistance to insulin, the hormone your body needs to use blood sugar for energy. Since the bodies of those with type 2 diabetes resist insulin, sugar builds up in their 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,” said Dr. Hatipoglu. “Over time, diabetes damages the small blood vessels in your body, causing the walls of the blood vessels to stiffen. This increases pressure, which leads to high blood pressure.”
The combination of high blood pressure and type 2 diabetes can greatly increase your risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease and retinopathy.
Chronic high blood pressure can also contribute to early onset of conditions such as Alzheimer’s disease, dementia, and stroke because the blood vessels in the brain are particularly susceptible to damage due to high blood pressure.
Foods That Are Rich In Fructose And Increases Blood Pressure
The food which are high in fructose and added sugar are carbonated drinks and beverages, fruits and vegetables like banana, kiwi, cherry, blackberry, mango, tomato, dates, asparagus, beans, broccoli, etc., processed foods like barbeque and pasta, dried fruits, etc. Thus a person who is at increased risk and also those who are already suffering from hypertension must be cautious about the intake of added sugar or fructose in their diet. These people must also try to avoid the processed and packed foods which are generally very high in added sugar. Moreover, in contrary to the earlier belief, they should include salt in their diet so as to utilize its positive effects on the body. However, the quantity must not exceed the limit.
Does Low Blood Sugar Cause High Blood Pressure In Diabetics
It’s clear that uncontrolled diabetes increases the risk of hypertension . Even about 2 out of 3 people with diabetes experience hypertension in their life. How about low blood sugar . Does it also have a contribution to cause high blood pressure?
The treatment of diabetes itself is more focused to control the level of blood glucose, particularly to make sure that it doesn’t increase higher than normal. In essence, the major goal of the treatment is to maintain the blood sugar levels as close to normal as possible. However there is always a chance for episodes of hypoglycemia to occur in diabetics.
Episodes of low blood sugar in diabetics
In general, type-1 is a condition of when the pancreas is much less productive in producing hormone insulin than type-2. Even some people with type-1 have pancreas that is not able to make any insulin. This is the reason of why most people with type-1 need to take insulin replacement.
Unfortunately, there are also pros and cons of taking insulin in diabetics. While it can be help provide adequate insulin for blood sugar control, sometimes it also increases the risk of hypoglycemia particularly if taken improperly.
Therefore if compared with type-2, episodes of hypoglycemia is relatively more common in type-1!
What actually is your blood pressure?
When you check the pressure, you will find 2 different numbers from the result of the test.
How Can I Lower Blood Pressure Whilst Managing My Diabetes
There are various ways to lower blood pressure, including modifying lifestyle and medication. Losing weight makes a big difference to blood pressure.
Taking regular physical exercise also makes a big difference to blood pressure. Lowering salt intake also makes a major difference to blood pressure, as does eating a more healthy diet in general.
Furthermore, cutting down alcohol and stopping smoking can also lower blood pressure amongst diabetics. Drug treatment is used in some instances, with several different drugs used to lower blood pressure.
What Is The Link Between Diabetes Heart Disease And Stroke
High blood glucose from diabetes can damage your blood vessels and the nerves that control your heart and blood vessels. Over time, this damage can lead to heart disease.1
People with diabetes tend to develop heart disease at a younger age than people without diabetes. Adults with diabetes are nearly twice as likely to have heart disease or stroke as adults without diabetes.2,3
The good news is that the steps you take to manage your diabetes also help lower your chances of having heart disease or stroke.
Sugar Contributes To Risk Factors For High Blood Pressure
High blood pressure, or hypertension, means that the blood in our blood vessels is exerting excessive force on arterial walls. Blood pressure is measured by two numbers, the first being systolic pressure, which describes the pressure as the heart contracts to circulate blood throughout the body. The second measurement, diastolic pressure, describes the pressure in blood vessels between heartbeats. In general, the systolic pressure measurement tends to be higher than the diastolic pressure measurement.
High blood pressure is associated with metabolic syndrome and heart disease. Added sugar is a well-known culprit in causing a host of metabolic conditions including obesity, insulin resistance, and fatty liver disease.
How To Avoid Added Sugars And Improve Your Blood Pressure
Avoiding added sugars is the key to limiting sugar intake in your diet. Dietary guidelines from the American Heart Association recommend that for men, 36 grams of added sugar is the daily maximum and for women, 25 grams is the daily maximum. Less is always better though, so aim to consume as little added sugar as possible. Knowing where added sugars are hiding is important for making the best food choices for a low-sugar diet. Follow these tips for cutting down on the amount of added sugar in your diet.
Are Certain People More Likely To Have Low Blood Pressure
Some people, especially if you have diabetes, are at a higher risk of your blood pressure temporarily dropping after eating or when getting up from a chair or from lying down in bed, for example. The former is what’s called postprandial hypotension and the latter is orthostatic hypotension. Normally, when you’re digesting food, or when you change your body position from sitting to standing, your cardiovascular system adapts by beating harder as well as more rapidly, and constricting the diameter of certain blood vessels, such as those far from your intestine where digestion occurs. These physiological changes all collaborate to maintain your blood pressure. But, if these changes do not occur fast or adequately enough, your blood pressure can drop, sometimes to dangerous levels.
Hypoglycemia In Children: Pediatric Ketotic Hypoglycemia
Some children experience pediatric ketotic hypoglycemia, involving low blood sugar levels and high levels of a substance known as ketones.
Doctors do not know exactly why this happens, but causes may include:
- metabolism problems that the child was born
- conditions that lead to excess production of certain hormones
Symptoms usually appear after the age of 6 months and disappear before adolescence.
- mood changes
- clumsy or jerky movements
If a child shows any of the above signs or symptoms, they should see a doctor as soon as possible.
Keep In Mind That Not All Sugar Raises Blood Pressure
Keep in mind that natural sugar that comes from fruit is healthy when consumed as part of the whole fruit. Sugar in fresh fruit is combined with loads of fiber, vitamins, minerals, and antioxidants that support healthy blood pressure levels and metabolic functioning. The sugar in whole fruits is digested slowly due to the high fiber content, supplying your body with a steady stream of fuel without blood sugar spikes.
The problem with fruit sugar comes when it is isolated from the whole fruit and added to processed ingredients. So, when avoiding sugar to benefit blood pressure, make sure to watch out for added sugars! But feel free to consume fresh fruit in abundance.
The Link Between High Blood Pressure And Inflammation
The evidence reviewed with the help of past research studies has suggested that inflammation can even lead to hypertension development.
Both ageing and aldosterone even have a relationship in both hypertension and inflammation.
Therefore, when there would not be serious side effects, anti-inflammatory drugs could play a vital role in the treatment of hypertension in the future. Secondly, adopting healthy lifestyle choices is even indeed the best technique in lowering the risk factor.
Though, doctors can also advise a statin drug for those people who have a high risk of suffering from heart disease. The doctor can even determine the risk level and even the next steps that are most valuable for you.
It is still not clear whether inflammation is a significant effect resulting from hypertension. Though, there is some evidence related to the studies carried out on humans and animals that inflammations can lead to the development of hyperinflation.
Both the endothelial dysfunction and oxidative stress have an association with inflammation and can have a contribution to hypertension. It can inevitably exacerbate the inflammatory response.
There are some other factors which even have a contribution towards hypertension such as ageing, aldosterone and
sympathetic nervous system activation. They have an association with inflammation.
What Are The Warning Signs Of Heart Attack And Stroke
- pain or pressure in your chest that lasts longer than a few minutes or goes away and comes back
- pain or discomfort in one or both of your arms or shoulders, or your back, neck, or jaw
- shortness of breath
- indigestion or nausea
- feeling very tired
Treatment works best when it is given right away. Warning signs can be different in different people. You may not have all the listed symptoms.
Women may experience chest pain, nausea, and vomiting; feel very tired ; and have pain that spreads to the back, neck, throat, arms, shoulders, or jaw. People with diabetes-related nerve damage may not notice any chest pain.
If you have angina, it’s important to know how and when to seek medical treatment.
- weakness or numbness of your face, arm, or leg on one side of your body
- confusion, or trouble talking or understanding
- dizziness, loss of balance, or trouble walking
- trouble seeing out of one or both eyes
- sudden, severe headache
If you have any one of these warning signs, call 9-1-1. You can help prevent permanent damage by getting to a hospital within an hour of a stroke.