Diabetic hypertension uses medicine attentive matters _ are treated

Diabetic hypertension uses medicine attentive matters _ are treated
Which are the attentive matters of using medicine of diabetic hypertension?
Diabetes and hypertension cause the main dangerous factors of atherosclerosis, coronary heart disease and apoplexy. When diabetic hypertension uses medicines, besides paying close attention to the depressurization result of the medicine, should also consider that there are protective action, and factors such as the impact on blood glucose of medicine,etc. on heart, brain, kidney.
The following is some attentive matters that diabetic hypertension uses medicine, for your reference.
The administration of diabetic hypertension should choose angiotensin first and change enzyme inhibitor (ACEI) , the angiotensin II receptor blocks pharmaceuticals (ARB) ,The two are a gleam of medicine of the diabetic hypertension. When single medicine is effective, can select ACEI or ARB for use preferably, when needing jointly using medicine, also should be based on one of these kind. If patients can't tolerate, the two can exchange. ACEI prevents the kidney from damaging to 1 type diabetes beneficially.
The Line two medicine of the administration of diabetic hypertension blocks pharmaceuticals, calcium passway to block pharmaceuticals (CCB) for diuresis medicine, receptor ,Or unite application. Diuresis medicine and the intersection of and receptor block pharmaceutical, should be, use while being low dose of, for example hydrogen dosage less than 12.5- 25mg one day such as chlorothiazide, in order to avoid the adverse effect on fat of blood and blood glucose; As to 1 type diabetic that break out repeatedly, careful to block pharmaceuticals with receptor, in case that it conceals hypoglycemia symptom. Unless blood pressure can not be controlled well, or have loose prostate, seldom use receptor to block pharmaceuticals.
Should pay attention to the old patient in administration of diabetic hypertension, the depressurization treatment of the old patient should follow in order and advance step by step, be up to standard of progressively, blood pressure control standard can relax while being appropriate, such as regard 140/90mmHg as, treat goal, in order to prevent blood pressure from lower, cause internal organs blood supply enough suddenly.
The administration of diabetic hypertension should notice the medicine unites application. The treatment of hypertension does not advocate the application of heavy dose of single medicine at present, step down to use jointly medicine while being many kinds of while being low dose of, can produce the intersection of co-operation and function of stepping down of medicine not merely so, and can reduce or avoid the emergence of the bad reaction. Accompany the patient of hypertension as to diabetes, it is that ACEI adds the calcium passway and blocks pharmaceuticals (CCB) that the commonly used depressurization medicine is made up ,Or ARB adds CCB, and ACEI adds the longevity than the mountain, or ARB adds the longevity than mountain,etc..
Diabetic hypertension should choose, step down the intersection of function and steady, lasting medicine at the administration. Should generally select for use and clear up dosage forms long-efficiencily and slowly, function is temperate that its advantage lies in stepping down, the not incident blood pressure fluctuation by a relatively large margin, and this kind of medicine can reduce the emergence of the cardiovascular bad incident. Secondly it is convenient to take medicine, it is difficult for the patient to leak and take medicines.
Should consider the depressurization result of the medicine synthetically, combine other complications in administration of diabetic hypertension, according to each diabetic's concrete condition, select the appropriate depressurization medicine for use according to the circumstances.
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