الفهرس 
DIABETES AND HYPERTENSIONOnly 14 pages are availabe for public view
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Abstract
To assess . the prevalence of an impaired diurnal blood pressure pattern in a population of both
normotensive and hypertensive diabetics, 24-hours non invasive ambulatory blood pressure monitoring
was perfonned in 40 patients with type 2 diabetes (20 hypertensives and 20 nonnotensives) and in 20
control subjects without diabetes (I0 hypertensives and 10 nonnotensives) Diastolic blood pressure
and especially the nocturnal systolic blood pressme were significantly less marked in both
normotensive and hypertensive diabetics. Whereas no statistical significance was found in tl1e
day-night systolic and diastolic blood pressure changes between the nonnotensive and hypertensive
non diabetics.
The contribution of impaired diurnal blood pressure rhythm to target organ damage (left ventricular
hypertrophy, microalbuminuria), was assessed. Left ventricular mass correlated significantly with
the night-time systolic and diastolic blood pressure in the hypertensive diabetics, and with the
night time diastolic blood pressure only in tl1e nonnotensive diabetics. No significant
correlation was found betweenleft ventricular mass and control groups. The presence of
microalbmninuria showed no significant correlation with impaired diurnal blood pressure rhythm in
all groups.