Perspective
Hypertension and diabetic retinopathy
what's the story?
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Introduction |
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Improved understanding of the role of hypertension in the pathogenesis of diabetic retinopathy presents both a challenge and an opportunity for ophthalmologists and other diabetic healthcare professionals to improve patient care. Around 40% of patients with type 2 diabetes are hypertensive, the proportion increasing to 60% by the age of 75.1 Recent reports from the United Kingdom Prospective Diabetes Study (UKPDS) have focused attention on the links between hypertension and sight loss in diabetes.1 2 These reports in type 2 diabetes accord with previous observational studies in type 1 diabetes3 4 and demonstrate both hypertension as a risk factor for diabetic retinopathy and the beneficial effects of tight blood pressure control. This review summarises recent papers, including the UKPDS reports, and discusses the implications for management of people with diabetes.
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Prevalence of hypertension in diabetes |
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Diabetes and hypertension are among the commonest diseases in
developed countries, and the frequency of both diseases rises with age.
In the Wisconsin study examining
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[Abstract] [Full Text] -
Klein, R, Klein, B E K
(2002). Blood pressure control and diabetic retinopathy. Br. J. Ophthalmol.
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[Full Text]
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