how does diabetes affect blood pressure?

Answer 1

In the presence of nephropathy, extracellular fluid volume and total body sodium levels are increased. The activity of the renin-angiotensin-aldosterone system (RAAS) is reduced in these patients, and the hypertension is volume-dependent, similar to other nephropathies. In the absence of diabetic nephropathy, other factors must play a role in the development of hypertension. These factors are both genetic and acquired. Elevated total body sodium with low or normal activity of the RAAS has been reported. Studies in humans with hypertension have found hyperinsulinemia secondary to insulin resistance and decreased insulin clearance. Hyperinsulinemia may possibly be associated with increased renal sodium resorption and sympathetic nervous system overactivity, leading to hypertension in obese individuals and other insulin-resistant states, such as type 2 diabetes. Insulin resistance is also associated with a decreased vasodilatory response to insulin in skeletal muscle and an increased vasoconstrictor response to various vasopressors. However, the role of insulin resistance in the etiology and pathogenesis of hypertension is not fully understood.

Answer 2

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Answer 3

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Answer 5

It is more difficult to control (needs 2-3 drugs in addition to diet), and also need to use certain types of medicatons and lower level of target BP. They usually coexist.

Answer 6

Im gonna have to agree with the textbook perfect answer that the paramedic gave versus the second guy who didnt know how to spell.

Answer 7

this is actually long to answer, but i can simplify it by that blood vessels has been atherosclerosed. that mean basically, blood vessels are hard & narrowed causing increasing in BP because of velocity increasing.