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Volume 5, Issue 1
  • ISSN: 0250-6882
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Abstract

Background

Normal circadian blood pressure response includes a nocturnal fall in BP by 10 to 20% of the average daytime BP. Many diseases, including diabetes mellitus, alter these normal circadian BP changes. DM, through its long-term microvascular and macrovascular complications, such as autonomic neuropathy, affects BP dipping patterns by decreasing dipping (non-dipper), exaggerating dipping (nocturnal hypotension), or causing an actual increase in BP (reverse dipping). These altered dipping patterns are likely to be more common in those with long-standing hyperglycemia, poor glycemic control, and concurrent renal dysfunction. Abnormal dipping patterns (non-dipping and reverse dipping) are associated with increased target organ damage and cardiovascular risk among diabetic patients. The BP variation and dipping patterns are best studied using ambulatory blood pressure monitoring. This study has compared BP dipping patterns in patients with T2DM and healthy controls and evaluated their correlation with the duration of diabetes, glycemic status, and renal status by employing Ambulatory Blood Pressure Monitoring (ABPM).

Materials and Methods

50 patients with T2DM for more than 5 years have been compared with 50 normal subjects (controls) for alteration in the circadian BP pattern and its relationship with the patients’ duration of diabetes, glycemic status, and renal status.

Results

This study has revealed statistically significant findings concerning abnormal dipping patterns (non-dipping and reverse dipping) between diabetic and non-diabetic patients (56% . 24%, p-value=0.001), between the duration of diabetes for more than 10 years and 5-10 years (77.8% . 43.8%, P=0.02), between higher HbA1c of more than 9% and 7-9% (34.5% . 4.8%, P=0.0001), between patients with proteinuria and those without proteinuria (p=0.045), and between patients with microalbuminuria and those with no microalbuminuria (87.5% . 41.2%, p=0.002).

Conclusion

Compared to normal subjects, most patients with T2DM had an abnormal BP dipping pattern. The duration of DM, poor glycemic control, and renal dysfunction (proteinuria and microalbuminuria) were positively correlated with nocturnal BP dipping pattern abnormalities.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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References

  1. VijanS. Type 2 diabetes.Ann. Intern. Med.20101525ITC3-110.7326/0003‑4819‑152‑5‑201003020‑0100320194231
     [Google Scholar]
  2. SarwarN. GaoP. SeshasaiS.R. GobinR. KaptogeS. Di AngelantonioE. IngelssonE. LawlorD.A. SelvinE. StampferM. StehouwerC.D. LewingtonS. PennellsL. ThompsonA. SattarN. WhiteI.R. RayK.K. DaneshJ. The emerging risk factors collaboration.Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: A collaborative meta-analysis of 102 prospective studies.Lancet201037597332215222210.1016/S0140‑6736(10)60484‑920609967
     [Google Scholar]
  3. SchrammT.K. GislasonG.H. KøberL. RasmussenS. RasmussenJ.N. AbildstrømS.Z. HansenM.L. FolkeF. BuchP. MadsenM. VaagA. Torp-PedersenC. Diabetes patients requiring glucose-lowering therapy and nondiabetics with a prior myocardial infarction carry the same cardiovascular risk: A population study of 3.3 million people.Circulation2008117151945195410.1161/CIRCULATIONAHA.107.72084718378618
     [Google Scholar]
  4. LongA.N. Dagogo-JackS. Comorbidities of diabetes and hypertension: mechanisms and approach to target organ protection.J. Clin. Hypertens201113424425110.1111/j.1751‑7176.2011.00434.x21466619
     [Google Scholar]
  5. HasslerC. BurnierM. Circadian variations in blood pressure : Implications for chronotherapeutics.Am. J. Cardiovasc. Drugs20055171510.2165/00129784‑200505010‑0000215631533
     [Google Scholar]
  6. YanoY. KarioK. Nocturnal blood pressure and cardiovascular disease: A review of recent advances.Hypertens. Res.201235769570110.1038/hr.2012.2622378470
     [Google Scholar]
  7. CuspidiC. SalaC. TadicM. GherbesiE. De GiorgiA. GrassiG. ManciaG. Clinical and prognostic significance of a reverse dipping pattern on ambulatory monitoring: An updated review.J. Clin. Hypertens. (Greenwich)201719771372110.1111/jch.1302328692165
     [Google Scholar]
  8. de la SierraA. RedonJ. BanegasJ.R. SeguraJ. ParatiG. GorostidiM. de la CruzJ.J. SobrinoJ. LlisterriJ.L. AlonsoJ. VinyolesE. PallarésV. SarríaA. ArandaP. RuilopeL.M. Spanish society of hypertension ambulatory blood pressure monitoring registry investigators.Prevalence and factors associated with circadian blood pressure patterns in hypertensive patients.Hypertension200953346647210.1161/HYPERTENSIONAHA.108.12400819171788
     [Google Scholar]
  9. CasagrandeM. FavieriF. LangherV. GuarinoA. Di PaceE. GermanòG. ForteG. The night side of blood pressure: Nocturnal blood pressure dipping and emotional (dys)regulation.Int. J. Environ. Res. Public Health20201723889210.3390/ijerph1723889233265925
     [Google Scholar]
  10. O’BrienE. SheridanJ. O’MalleyK. Dippers and non-dippers.Lancet1988332860739710.1016/S0140‑6736(88)92867‑X2899801
     [Google Scholar]
  11. VerdecchiaP. SchillaciG. PorcellatiC. Dippers versus non-dippers.J. Hypertens. Suppl.199198S42S441839037
     [Google Scholar]
  12. PickeringT.G. The clinical significance of diurnal blood pressure variations. Dippers and nondippers.Circulation199081270070210.1161/01.CIR.81.2.7002137050
     [Google Scholar]
  13. NakanoS. FukudaM. HottaF. ItoT. IshiiT. KitazawaM. NishizawaM. KigoshiT. UchidaK. Reversed circadian blood pressure rhythm is associated with occurrences of both fatal and nonfatal vascular events in NIDDM subjects.Diabetes19984791501150610.2337/diabetes.47.9.15019726241
     [Google Scholar]
  14. NabeB. LiesA. PankowW. KohlF.V. LohmannF.W. Determinants of circadian blood pressure rhythm and blood pressure variability in obstructive sleep apnoea.J. Sleep Res.19954s19710110.1111/j.1365‑2869.1995.tb00196.x10607183
     [Google Scholar]
  15. SuzukiM. GuilleminaultC. OtsukaK. ShiomiT. Blood pressure “dipping” and “non-dipping” in obstructive sleep apnea syndrome patients.Sleep199619538238710.1093/sleep/19.5.3828843529
     [Google Scholar]
  16. LavieP. YoffeN. BergerI. PeledR. The relationship between the severity of sleep apnea syndrome and 24-h blood pressure values in patients with obstructive sleep apnea.Chest1993103371772110.1378/chest.103.3.7178449057
     [Google Scholar]
  17. YanB. YanH. SunL. YanX. PengL. WangY. WangG. Novel association between the reverse-dipper pattern of ambulatory blood pressure monitoring and metabolic syndrome in men but not in women.Medicine20159447e211510.1097/MD.000000000000211526632731
     [Google Scholar]
  18. SafarM.E. BalkauB. LangeC. ProtogerouA.D. CzernichowS. BlacherJ. LevyB.I. SmulyanH. Hypertension and vascular dynamics in men and women with metabolic syndrome.J. Am. Coll. Cardiol.2013611121910.1016/j.jacc.2012.01.08823287369
     [Google Scholar]
  19. HermidaR.C. RíosM.T. CrespoJ.J. MoyáA. Domínguez-SardiñaM. OteroA. SánchezJ.J. MojónA. FernándezJ.R. AyalaD.E. Hygia project investigators.Treatment-time regimen of hypertension medications significantly affects ambulatory blood pressure and clinical characteristics of patients with resistant hypertension.Chronobiol. Int.2013301-219220610.3109/07420528.2012.70146023098160
     [Google Scholar]
  20. MatsushitaK. van der VeldeM. AstorB.C. WoodwardM. LeveyA.S. de JongP.E. CoreshJ. GansevoortR.T. Chronic kidney disease prognosis consortium.Association of estimated glomerular filtration rate and albuminuria with all-cause and cardiovascular mortality in general population cohorts: A collaborative meta-analysis.Lancet201037597312073208110.1016/S0140‑6736(10)60674‑520483451
     [Google Scholar]
  21. FedecostanteM. SpannellaF. ColaG. EspinosaE. Dessì-FulgheriP. SarzaniR. Chronic kidney disease is characterized by “double trouble” higher pulse pressure plus night-time systolic blood pressure and more severe cardiac damage.PLoS One201491e8615510.1371/journal.pone.008615524465931
     [Google Scholar]
  22. PortaluppiF. MontanariL. MassariM. ChiaraV.D. CapannaM. Loss of nocturnal decline of blood pressure in hypertension due to chronic renal failure.Am. J. Hypertens.199141_Pt_1202610.1093/ajh/4.1.202006993
     [Google Scholar]
  23. KarioK. PickeringT.G. MatsuoT. HoshideS. SchwartzJ.E. ShimadaK. Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives.Hypertension200138485285710.1161/hy1001.09264011641298
     [Google Scholar]
  24. RoutledgeF. McFetridge-DurdleJ. Nondipping blood pressure patterns among individuals with essential hypertension: A review of the literature.Eur. J. Cardiovasc. Nurs.20076192610.1016/j.ejcnurse.2006.05.00116843730
     [Google Scholar]
  25. FerranniniE HaffnerSM SternMP MitchellBD NataliA HazudaHP PattersonJK High blood pressure and insulin resistance: Influence of ethnic background.Eur J Clin Invest199121328028710.1111/j.1365‑2362.1991.tb01371.x1909631
     [Google Scholar]
  26. AyalaD.E. MoyáA. CrespoJ.J. CastiñeiraC. Domínguez-SardiñaM. GomaraS. SineiroE. MojónA. FontaoM.J. HermidaR.C. Hygia Project Investigators.Circadian pattern of ambulatory blood pressure in hypertensive patients with and without type 2 diabetes.Chronobiol. Int.2013301-29911510.3109/07420528.2012.70148923098178
     [Google Scholar]
  27. WangC. ZhangJ. LiuX. LiC. YeZ. PengH. ChenZ. LouT. Reversed dipper blood-pressure pattern is closely related to severe renal and cardiovascular damage in patients with chronic kidney disease.PLoS One201382e5541910.1371/journal.pone.005541923393577
     [Google Scholar]
  28. IbernonM. MoresoF. SarriasX. SarriasM. GrinyóJ.M. Fernandez-RealJ.M. RicartW. SerónD. Reverse dipper pattern of blood pressure at 3 months is associated with inflammation and outcome after renal transplantation.Nephrol. Dial. Transplant.20122752089209510.1093/ndt/gfr58722015441
     [Google Scholar]
  29. YanB. Blood pressure reverse-dipping is associated with early formation of carotid plaque in senior hypertensive patients.Medicine94, e604, 10.1097/MD.0000000000000604
     [Google Scholar]
  30. YanB. PengL. DongQ. ZhengF. YangP. SunL. GongS. ZengL. WangG. Reverse‐dipper pattern of blood pressure may predict lacunar infarction in patients with essential hypertension.Eur. J. Neurol.20152261022102510.1111/ene.1265925614275
     [Google Scholar]
  31. OrduS. OzhanH. AlemdarR. YildirimH. GungorA. CaglarS.O. AydinM. BulurS. Cystatin C levels in patients with dipper and nondipper hypertension.J. Investig. Med.201260467667910.2310/JIM.0b013e31824a4e6422373662
     [Google Scholar]
  32. AbramsonJ.L. JurkovitzC.T. VaccarinoV. WeintraubW.S. McclellanW. Chronic kidney disease, anemia, and incident stroke in a middle-aged, community-based population: The ARIC Study.Kidney Int.200364261061510.1046/j.1523‑1755.2003.00109.x12846757
     [Google Scholar]
  33. Van BiesenW. De BacquerD. VerbekeF. DelangheJ. LameireN. VanholderR. The glomerular filtration rate in an apparently healthy population and its relation with cardiovascular mortality during 10 years.Eur. Heart J.200728447848310.1093/eurheartj/ehl45517223665
     [Google Scholar]
  34. PerlmanR.L. FinkelsteinF.O. LiuL. RoysE. KiserM. EiseleG. Burrows-HudsonS. MessanaJ.M. LevinN. RajagopalanS. PortF.K. WolfeR.A. SaranR. Quality of life in chronic kidney disease (CKD): A cross-sectional analysis in the renal research institute-CKD study.Am. J. Kidney Dis.200545465866610.1053/j.ajkd.2004.12.02115806468
     [Google Scholar]
  35. TorbjörnsdotterT.B. JaremkoG.A. BergU.B. Nondipping and its relation to glomerulopathy and hyperfiltration in adolescents with type 1 diabetes.Diabetes Care200427251051610.2337/diacare.27.2.51014747237
     [Google Scholar]
  36. MinutoloR. AgarwalR. BorrelliS. ChiodiniP. BellizziV. NappiF. CianciarusoB. ZamboliP. ConteG. GabbaiF.B. De NicolaL. Prognostic role of ambulatory blood pressure measurement in patients with nondialysis chronic kidney disease.Arch. Intern. Med.2011171121090109810.1001/archinternmed.2011.23021709109
     [Google Scholar]
  37. PogueV. RahmanM. LipkowitzM. TotoR. MillerE. FaulknerM. RostandS. HiremathL. SikaM. KendrickC. HuB. GreeneT. AppelL. PhillipsR.A. African american study of kidney disease and hypertension collaborative research group.Disparate estimates of hypertension control from ambulatory and clinic blood pressure measurements in hypertensive kidney disease.Hypertension2009531202710.1161/HYPERTENSIONAHA.108.11515419047584
     [Google Scholar]
  38. HermidaR.C. AyalaD.E. MojónA. FernándezJ.R. Sleep-time BP: Prognostic marker of type 2 diabetes and therapeutic target for prevention.Diabetologia201659224425410.1007/s00125‑015‑3748‑826399403
     [Google Scholar]
  39. LinigerC. FavreL. AssalJ.P. Twenty-four hour blood pressure and heart rate profiles of diabetic patients with abnormal cardiovascular reflexes.Diabet. Med.19918542042710.1111/j.1464‑5491.1991.tb01625.x1830525
     [Google Scholar]
  40. CuspidiC. VaccarellaA. LeonettiG. SalaC. Ambulatory blood pressure and diabetes: Targeting nondipping.Curr. Diabetes Rev.20106211111510.2174/15733991079090937820199399
     [Google Scholar]
  41. GunawanF. NgH.Y. GilfillanC. AnpalahanM. Ambulatory blood pressure monitoring in type 2 diabetes mellitus: A cross-sectional study.Curr. Hypertens. Rev.201915213514310.2174/157340211466618060709020529875006
     [Google Scholar]
  42. DelaneyA. PellizzariM. SpeiserP.W. FrankG.R. Pitfalls in the measurement of the nocturnal blood pressure dip in adolescents with type 1 diabetes.Diabetes Care200932116516810.2337/dc08‑131918984777
     [Google Scholar]
  43. PerloffD. GrimC. FlackJ. FrohlichE.D. HillM. McDonaldM. MorgensternB.Z. Human blood pressure determination by sphygmomanometry.Circulation19938852460247010.1161/01.CIR.88.5.24608222141
     [Google Scholar]
  44. SarafidisP.A. RumjonA. MacdougallI.C. Ambulatory blood pressure monitoring: An invaluable tool comes of age for patients with chronic kidney disease?Am. J. Nephrol.201235323824110.1159/00033611122343708
     [Google Scholar]
  45. O’BrienE. ParatiG. StergiouG. AsmarR. BeilinL. BiloG. ClementD. de la SierraA. de LeeuwP. DolanE. FagardR. GravesJ. HeadG.A. ImaiY. KarioK. LurbeE. MallionJ.M. ManciaG. MengdenT. MyersM. OgedegbeG. OhkuboT. OmboniS. PalatiniP. RedonJ. RuilopeL.M. ShennanA. StaessenJ.A. vanMontfransG. VerdecchiaP. WaeberB. WangJ. ZanchettiA. ZhangY. European society of hypertension working group on blood pressure monitoring.European society of hypertension position paper on ambulatory blood pressure monitoring.J. Hypertens.20133191731176810.1097/HJH.0b013e328363e96424029863
     [Google Scholar]
  46. VerdecchiaP. PorcellatiC. SchillaciG. BorgioniC. CiucciA. BattistelliM. GuerrieriM. GatteschiC. ZampiI. SantucciA. SantucciC. ReboldiG. Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension.Hypertension199424679380110.1161/01.HYP.24.6.7937995639
     [Google Scholar]
  47. EknoyanG. Adolphe quetelet (1796 1874) the average man and indices of obesity.Nephrol. Dial. Transplant.2007231475110.1093/ndt/gfm51717890752
     [Google Scholar]
  48. WilliamsB. ManciaG. SpieringW. Agabiti RoseiE. AziziM. BurnierM. ClementD.L. CocaA. de SimoneG. DominiczakA. KahanT. MahfoudF. RedonJ. RuilopeL. ZanchettiA. KerinsM. KjeldsenS.E. KreutzR. LaurentS. LipG.Y.H. McManusR. NarkiewiczK. RuschitzkaF. SchmiederR.E. ShlyakhtoE. TsioufisC. AboyansV. DesormaisI. De BackerG. HeagertyA.M. AgewallS. BochudM. BorghiC. BoutouyrieP. BrguljanJ. BuenoH. CaianiE.G. CarlbergB. ChapmanN. CífkováR. ClelandJ.G.F. ColletJ-P. ComanI.M. de LeeuwP.W. DelgadoV. DendaleP. DienerH-C. DorobantuM. FagardR. FarsangC. FerriniM. GrahamI.M. GrassiG. HallerH. HobbsF.D.R. JelakovicB. JenningsC. KatusH.A. KroonA.A. LeclercqC. LovicD. LurbeE. ManolisA.J. McDonaghT.A. MesserliF. MuiesanM.L. NixdorffU. OlsenM.H. ParatiG. PerkJ. PiepoliM.F. PoloniaJ. PonikowskiP. RichterD.J. RimoldiS.F. RoffiM. SattarN. SeferovicP.M. SimpsonI.A. Sousa-UvaM. StantonA.V. van de BorneP. VardasP. VolpeM. WassmannS. WindeckerS. ZamoranoJ.L. WindeckerS. AboyansV. AgewallS. BarbatoE. BuenoH. CocaA. ColletJ-P. ComanI.M. DeanV. DelgadoV. FitzsimonsD. GaemperliO. HindricksG. IungB. JüniP. KatusH.A. KnuutiJ. LancellottiP. LeclercqC. McDonaghT.A. PiepoliM.F. PonikowskiP. RichterD.J. RoffiM. ShlyakhtoE. SimpsonI.A. Sousa-UvaM. ZamoranoJ.L. TsioufisC. LurbeE. KreutzR. BochudM. RoseiE.A. JelakovicB. AziziM. JanuszewicsA. KahanT. PoloniaJ. van de BorneP. WilliamsB. BorghiC. ManciaG. ParatiG. ClementD.L. CocaA. ManolisA. LovicD. BenkheddaS. ZelveianP. SiostrzonekP. NajafovR. PavlovaO. De PauwM. Dizdarevic-HudicL. RaevD. KarpettasN. LinhartA. OlsenM.H. ShakerA.F. ViigimaaM. MetsärinneK. VavlukisM. HalimiJ-M. PagavaZ. SchunkertH. ThomopoulosC. PállD. AndersenK. ShechterM. MercuroG. BajraktariG. RomanovaT. TrušinskisK. SaadeG.A. SakalyteG. NoppeS. DeMarcoD.C. CarausA. WittekoekJ. AksnesT.A. JankowskiP. PoloniaJ. VinereanuD. BaranovaE.I. FoscoliM. DikicA.D. FilipovaS. FrasZ. Bertomeu-MartínezV. CarlbergB. BurkardT. SdiriW. AydogduS. SirenkoY. BradyA. WeberT. LazarevaI. BackerT.D. SokolovicS. JelakovicB. WidimskyJ. ViigimaaM. PörstiI. DenolleT. KrämerB.K. StergiouG.S. ParatiG. TrušinskisK. MiglinasM. GerdtsE. TykarskiA. de Carvalho RodriguesM. DorobantuM. ChazovaI. LovicD. FilipovaS. BrguljanJ. SeguraJ. GottsäterA. Pechère-BertschiA. ErdineS. SirenkoY. BradyA. ESC scientific document group.2018 ESC/ESH Guidelines for the management of arterial hypertension.Eur. Heart J.201839333021310410.1093/eurheartj/ehy33930165516
     [Google Scholar]
  49. UngerT. BorghiC. CharcharF. KhanN.A. PoulterN.R. PrabhakaranD. RamirezA. SchlaichM. StergiouG.S. TomaszewskiM. WainfordR.D. WilliamsB. SchutteA.E. 2020 international society of hypertension global hypertension practice guidelines.Hypertension20207561334135710.1161/HYPERTENSIONAHA.120.1502632370572
     [Google Scholar]
  50. WheltonP.K. CareyR.M. AronowW.S. CaseyD.E.Jr CollinsK.J. Dennison HimmelfarbC. DePalmaS.M. GiddingS. JamersonK.A. JonesD.W. MacLaughlinE.J. MuntnerP. OvbiageleB. SmithS.C.Jr SpencerC.C. StaffordR.S. TalerS.J. ThomasR.J. WilliamsK.A.Sr WilliamsonJ.D. WrightJ.T.Jr 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the american college of cardiology/american heart association task force on clinical practice guidelines.Hypertension2018716e13e11529133356
     [Google Scholar]
  51. JamesP.A. OparilS. CarterB.L. CushmanW.C. Dennison-HimmelfarbC. HandlerJ. LacklandD.T. LeFevreM.L. MacKenzieT.D. OgedegbeO. SmithS.C.Jr SvetkeyL.P. TalerS.J. TownsendR.R. WrightJ.T.Jr NarvaA.S. OrtizE. 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint national committee (JNC 8).JAMA2014311550752010.1001/jama.2013.28442724352797
     [Google Scholar]
  52. RabiD.M. McBrienK.A. Sapir-PichhadzeR. NakhlaM. AhmedS.B. DumanskiS.M. ButaliaS. LeungA.A. HarrisK.C. CloutierL. ZarnkeK.B. RuzickaM. HiremathS. FeldmanR.D. TobeS.W. CampbellT.S. BaconS.L. NerenbergK.A. DresserG.K. FournierA. BurgessE. LindsayP. RabkinS.W. PrebtaniA.P.H. GroverS. HonosG. AlfonsiJ.E. ArcandJ. AudibertF. BenoitG. BittmanJ. BolliP. CôtéA.M. DionneJ. Don-WauchopeA. EdwardsC. FirozT. GaborJ.Y. GilbertR.E. GrégoireJ.C. GrynS.E. GuptaM. Hannah-ShmouniF. HegeleR.A. HermanR.J. HillM.D. HowlettJ.G. HundemerG.L. JonesC. KaczorowskiJ. KhanN.A. KuyperL.M. Lamarre-ClicheM. LavoieK.L. LeiterL.A. LewanczukR. LoganA.G. MageeL.A. MangatB.K. McFarlaneP.A. McLeanD. MichaudA. MilotA. MoeG.W. PennerS.B. PipeA. PoppeA.Y. ReyE. RoereckeM. SchiffrinE.L. SelbyP. SharmaM. ShoamaneshA. SivapalanP. TownsendR.R. TranK. TrudeauL. TsuyukiR.T. ValléeM. WooV. BellA.D. DaskalopoulouS.S. Hypertension canada’s 2020 comprehensive guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children.Can. J. Cardiol.202036559662410.1016/j.cjca.2020.02.08632389335
     [Google Scholar]
  53. WheltonP.K. CareyR.M. AronowW.S. CaseyD.E.Jr CollinsK.J. Dennison HimmelfarbC. DePalmaS.M. GiddingS. JamersonK.A. JonesD.W. MacLaughlinE.J. MuntnerP. OvbiageleB. SmithS.C.Jr SpencerC.C. StaffordR.S. TalerS.J. ThomasR.J. WilliamsK.A.Sr WilliamsonJ.D. WrightJ.T.Jr 2017ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: Executive summary: A report of the american college of cardiology/american heart association task force on clinical practice guidelines.Hypertension20187161269132410.1161/HYP.000000000000006629133354
     [Google Scholar]
  54. PappaccogliM. Di MonacoS. PerloE. BurrelloJ. D’AscenzoF. VeglioF. MonticoneS. RabbiaF. Comparison of automated office blood pressure with office and out-off-office measurement techniques.Hypertension201973248149010.1161/HYPERTENSIONAHA.118.1207930624994
     [Google Scholar]
  55. GuptaR. MaheshwariA. VermaN. NarasinganS.N. TripathiK. InSH consensus guideline for the management of hypertension, 2023.Hypertension Journal2023935713210.61081/htnj/23v9i302
     [Google Scholar]
  56. SharmanJ.E. TanI. StergiouG.S. LombardiC. SaladiniF. ButlinM. PadwalR. AsayamaK. AvolioA. BradyT.M. MurrayA. ParatiG. Automated ‘oscillometric’ blood pressure measuring devices: How they work and what they measure.J. Hum. Hypertens.20223729310010.1038/s41371‑022‑00693‑x35637256
     [Google Scholar]
  57. RodriguesJ.C.L. AmaduA.M. Ghosh DastidarA. HarriesI. BurchellA.E. RatcliffeL.E.K. HartE.C. HamiltonM.C.K. PatonJ.F.R. NightingaleA.K. ManghatN.E. Noctural dipping status and left ventricular hypertrophy: A cardiac magnetic resonance imaging study.J. Clin. Hypertens201820478479310.1111/jch.1323529517128
     [Google Scholar]
  58. Vaz-de-MeloR.O. ToledoJ.C. LoureiroA.A. CipulloJ.P. Moreno JúniorH. MartinJ.F. Ausência de descenso noturno se associa a acidente vascular cerebral e infarto do miocárdio absence of nocturnal dipping is associated with stroke and myocardium infarction]. Arq Bras Cardiol.2010
  59. MazzottaG. ScopinaroG. FalcidienoM. ClaudianiF. De CaroE. BonowR.O. VecchioC. Significance of abnormal blood pressure response during exercise-induced myocardial dysfunction after recent acute myocardial infarction.Am. J. Cardiol.198759151256126010.1016/0002‑9149(87)90900‑33591678
     [Google Scholar]
  60. KarioK. WilliamsB. Nocturnal hypertension and heart failure: Mechanisms, evidence, and new treatments.Hypertension202178356457710.1161/HYPERTENSIONAHA.121.1744034225469
     [Google Scholar]
  61. AliK. The relationship between dipping profile in blood pressure and neurologic deficit in early acute ischemic stroke.J. Stroke Cerebrovasc. Dis2011201101510.1016/j.jstrokecerebrovasdis.2009.09.012
     [Google Scholar]
  62. MarinakisA. VyssoulisG.P. MichaelidesA.P. KarpanouE.A. CokkinosD.V. ToutouzasP.K. Impact of abnormal nocturnal blood pressure fall on vascular function.Am. J. Hypertens.200316320921310.1016/S0895‑7061(02)03262‑412620699
     [Google Scholar]
  63. TanX. SundströmJ. LindL. FranzonK. KilanderL. BenedictC. Reverse dipping of systolic blood pressure is associated with increased dementia risk in older men.Hypertension20217741383139010.1161/HYPERTENSIONAHA.120.1671133550821
     [Google Scholar]
  64. FushimiH. InoueT. MatsuyamaY. KishinoB. KameyamaM. FunakawaS. Impaired catecholamine secretion as a cause of diabetic autonomic neuropathy.Diabetes Res. Clin. Pract19884430330710.1016/S0168‑8227(88)80033‑0
     [Google Scholar]
  65. AkerstedtT. Altered sleep/wake patterns and circadian rhythms. Laboratory and field studies of sympathoadrenomedullary and related variables.Acta Physiol. Scand. Suppl.1979469148293120
     [Google Scholar]
  66. LinsellC.R. LightmanS.L. MullenP.E. BrownM.J. CausonR.C. Circadian rhythms of epinephrine and norepinephrine in man.J. Clin. Endocrinol. Metab.19856061210121510.1210/jcem‑60‑6‑12103998066
     [Google Scholar]
  67. NajafiMohammad Taghia KhalooPegahb AlemiHamidb JaafariniaAsmac Ambulatory blood pressure monitoring and diabetes complications: Targeting morning blood pressure surge and nocturnal dipping.Medicine20189738e1218510.1097/MD.0000000000012185
     [Google Scholar]
  68. ZhaoM. SongL. SunL. WangM. WangC. YaoS. LiY. YunC. ZhangS. SunY. HouZ. WuS. XueH. Associations of Type 2 diabetes onset age with cardiovascular disease and mortality: The kailuan study.Diabetes Care20214461426143210.2337/dc20‑237535239970
     [Google Scholar]
  69. AfsarB. ElsurerR. Urinary albumin excretion among nondipper hypertensive patients is closely related with the pattern of nondipping.J. Am. Soc. Hypertens.20104419620210.1016/j.jash.2010.06.00420655503
     [Google Scholar]
/content/journals/nemj/10.2174/0102506882319600240827071943
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Study on Dipping Pattern of Blood Pressure in Patients with Type 2 DM and its Correlation with the Duration of Diabetes, Glycaemic Control, and Renal Status
NEW Emirates Medical J 5, e02506882319600 (2024); https://doi.org/10.2174/0102506882319600240827071943
/content/journals/nemj/10.2174/0102506882319600240827071943
/content/journals/nemj/10.2174/0102506882319600240827071943
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  • Article Type:     Research Article
Keyword(s): Ambulatory blood pressure monitoring; Dipping pattern of BP; Duration of DM; Glycemic control; Non-dippers; Renal status; Reverse dippers; Type 2 diabetes mellitus

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