Increase in BP at night in diabetes increases the risk of death by two times – Research

High Blood Pressure In Night : In today’s lifestyle, sugar (diabetes) and BP ( The problem of blood pressure has become a common thing, but a little carelessness about them can cause other life-threatening diseases. Therefore, it is necessary to take regular medicines and avoidance of both of them. According to the news published in Dainik Jagran newspaper, people who are suffering from diabetes type 1 or type 2, they need to be more cautious about the fluctuations of their blood pressure. It is further written in the news, a research has found that people suffering from diabetes whose blood pressure increases at night compared to the day, they have twice the risk of death compared to people who have low blood pressure at night. The findings of this 21-year study were recently presented in the American Heart Association’s Hypertension Scientific Sessions 2021. Present Has been done.

It is further written in the study that usually when a person sleeps at night, his blood pressure remains low. But if the blood pressure is not reduced to a sufficient level at night, then it is called non-dipping. While the blood pressure increases at night compared to the day, then this process is called reverse dipping. This situation proves to be more dangerous.

What happened in the study
Martina Chiriaco, a researcher in the Department of Clinical and Experimental Medicine at the University of Pisa in Italy, reported that an unusual pattern of such fluctuations in BP was observed in diabetes type 1. OR increases the risk of cardiovascular complications and death in adults with type 2 diabetes.

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Martina Chiriaco said that the study’s conclusion is that one in 10 people with diabetes type 1 or type 2 may have reverse dipper, and this condition increases their risk of death twice as much as from any other cause. Is. Therefore, in the treatment of type 1 or type 2 diabetes, doctors should pay attention to the abnormal dipping pattern of the blood pressure of the patients.

Why only diabetic patients are at risk
During the study, the researchers also considered changes in heart rate. A low change in heart rate is a sign of poor health in people with heart failure, while in normal people, it increases the risk of coronary artery disease. However, there is a lack of long-term data on how low heart rate variability in people with type 1 or type 2 diabetes is related to their risk of death.

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In type 1 diabetes, the body does not produce insulin. Therefore, the patient has to take insulin from time to time through injection or pump. Whereas in type 2 diabetes, either insulin is made less or the body is not sensitive to it, so the body is stimulated to make more insulin through drugs.

Format and overview of the 21-year study
Researchers started a study from the year 1999 on 349 people suffering from diabetes in Pisa, Italy. They found that more than half of the participants had a non-dipping blood pressure condition at night, while 20 percent had a reverse dipper.

Cardiac autonomic neuropathy was also found in one-third of people with reverse dipper problems, while it was found in only 11 percent of people in the non-dipper category. Cardiac automatic neuropathy (CAN) is a very serious problem in diabetic people, in which the nerves that control the heart and blood vessels are damaged. Due to this, blood pressure and heart rate are affected, which increases the risk of cardiovascular complications and death. The mean age of people with reverse dipper also decreased by 2.5 years and for non-dippers by 1.1 years.

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