High blood pressure is one of the principal causes of Diabetic Nephropathy and kidney failure.
When blood pressure is high, there is a large amount of tension inside the
blood vessels that leads to damage. These vessels may close off completely which
can cause a heart attack, stroke, or kidney failure.
High blood sugar and high cholesterol can also damage blood vessels. Thus
people with diabetes who also have hypertension are at especially high risk for
blood vessel damage.
It usually takes years for blood vessels to completely close off and damage
to blood vessels can be slowed down or reversed with treatment.
Diagnosis
Diagnosis of high blood pressure can only be done by having your blood
pressure measured by a person trained in taking blood pressures. Usually, there
are no symptoms that can tell you that you have high blood pressure. In diabetic
patients the blood pressure is considered high if it is greater than 130/80.
Your blood pressure should be measured on multiple occasions as blood
pressures vary normally throughout the day and it is normal to have occasional
high pressures. Blood pressure should be taken after you have rested for 5
minutes and may be taken sitting or standing.
Your healthcare providers may ask you to check your blood pressure at home
and record the readings as part of your blood pressure management.
Treatment
There are multiple ways to control your blood pressure. The first step is
lifestyle changes. Most patients will also need one or several medications to
achieve good blood pressure control.
Lifestyle Changes
Your diet and lifestyle can directly affect blood pressure. For example, too
much salt, alcohol, or caffeine intake leads to your body increase your blood
pressure. Your weight also affects your blood pressure. Increased weight leads
to fluid retention and the extra fat releases hormones that make blood pressure
to rise.
Thus weight loss, lowering salt , alcohol and caffeine in your diet, lowering
stress, and increasing exercise are all an important parts of blood pressure
control.
Medications
The exact combination of medications that are best for you can only be
decided in discussions with your doctor. The medicines work in many ways. Of
note, many studies have shown that you may need to take several medications to
get your blood pressure to the goal of less than 130/80.
The medicated treatments can help patients to sow down the progression of the
kidney disease. This treatment can achieve the function of expending blood
vessels and proven the blood from clotting, so as to repair the kidney
function.
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