HYPERTENSION IN GLUCOSE-INTOLERANCE AND DIABETES

In insulin-dependent diabetes mellitus, an excess frequency of raised blood pressure occurs in association with increased urinary albumin excretion. It is not known whether the renal disorder causes the raised blood pressure, or whether the two disorders occur concomitantly. In non-insulin-dependent diabetes mellitus, any excess of raised blood pressure is small or non-existent when adjustments are made for obesity. However, raised blood pressure is found in glucose-intolerant individuals, independent of obesity. Reported associations between albumin excretion and blood pressure in non-insulin-dependent diabetes are inconsistent.