[The treatment of arterial hypertension in diabetes mellitus. Choices and problems].
Recent studies indicate that arterial hypertension in diabetes mellitus is a paramount pathogenetic step in the evolution and acceleration of diabetic macro- and microangiopathy and in particular in the development of nephropathy and uremia. This paper deals with the clinical problems of antihypertensive treatment in diabetic patients and discusses the antihypertensive repertory with the aim at determining the best drug choice in the individual case. In the light of our present pathophysiologic knowledges of the intrarenal effects of the various classes of antihypertensive drugs the possibility of preventing diabetic nephropathy is discussed.
Orsini
S
S
Istituto di Clinica Medica e Nefrologia, Università, Parma.
Allegri
L
L
Castiglioni
A
A
Garini
G
G
Vinci
S
S
Savazzi
G
G
D000959:Antihypertensive Agents / Q000009:adverse effects / Q000627:therapeutic use; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000188:drug therapy*; D003928:Diabetic Nephropathies / Q000209:etiology / Q000517:prevention & control; D004359:Drug Therapy, Combination; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy*; D007004:Hypoglycemic Agents / Q000009:adverse effects / Q000627:therapeutic use
D000959:Antihypertensive Agents; D007004:Hypoglycemic Agents
Trattamento dell'ipertensione arteriosa in corso di diabete mellito. Scelte e problemi.