[Investigation and screening of glucose metabolism in essential hypertension patients without diagnosed diabetes mellitus]

Beijing Da Xue Xue Bao Yi Xue Ban. 2007 Dec 18;39(6):603-6.
[Article in Chinese]

Abstract

Objective: To obtain the glucose metabolic profile of patients with essential hypertension in China.

Methods: This is an epidemiologic cross-sectional survey and screening study, 5 sites in China participated in. Patients with essential hypertension and without known diabetes mellitus(DM) answered the questionnaire and received in-site fasting blood glucose (FBG) determination and simple oral glucose tolerance test (OGTT).

Results: A total of 1,421 patients had the data of FBG and OGTT 2-hour glucose. Among them, The prevalence rates of newly diagnosed DM and impaired glucose regulation (IGR) were 22.9% and 64.4% respectively. Patients with newly diagnosed DM have higher systolic blood pressure, waistline, waist-to-hip ratio and plasma triglyceride.

Conclusion: Newly diagnosed disturbed glucose metabolic status is common among patients with essential hypertension without DM history, which had very low diagnose rate in routine work. We must pay more attention to the glucose metabolic status of patients with hypertension, especially the one with metabolic syndrome, OGTT should be as a routine procedure in the diagnosis of such patients.

Publication types

  • English Abstract
  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged, 80 and over
  • Blood Glucose / metabolism*
  • China / epidemiology
  • Cross-Sectional Studies
  • Diabetes Mellitus / diagnosis
  • Female
  • Glucose Intolerance / epidemiology
  • Glucose Tolerance Test
  • Humans
  • Hypertension / blood*
  • Hypertension / epidemiology*
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Blood Glucose