Circadian Rhythm of Blood Pressure in Normotensive NIDDM Subjects: Its Relationship to Microvascular Complications
@article{Nakano1991CircadianRO, title={Circadian Rhythm of Blood Pressure in Normotensive NIDDM Subjects: Its Relationship to Microvascular Complications}, author={Shigeru Nakano and K Uchida and Toshikazu Kigoshi and Sadahide Azukizawa and R Iwasaki and M Kaneko and Shinpei Morimoto}, journal={Diabetes Care}, year={1991}, volume={14}, pages={707 - 711} }
Objective To investigate the relationship between circadian rhythm of mean blood pressure (MBP) and microvascular complications in non-insulin-dependent diabetes mellitus (NIDDM) subjects. Research Design and Methods Seventy-six normotensive NIDDM subjects without azotemia were studied under ordinary hospital conditions with a noninvasive ambulatory blood pressure monitoring device. Time series data were analyzed by the cosinor method. Results Fifty-four subjects had a circadian MBP rhythm…
68 Citations
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References
SHOWING 1-10 OF 22 REFERENCES
Circadian variation of blood pressure in autonomic failure.
- MedicineCirculation
- 1983
A consistent circadian trend in blood pressure that was the inverse of the normal pattern, with the highest pressures at night and the lowest in the morning, was demonstrated in six subjects with autonomic failure who exhibited postural hypotension.
Loss of nocturnal decline in blood pressure after cardiac transplantation.
- MedicineCirculation
- 1986
Twenty-four hour noninvasive ambulatory blood pressure and heart rate monitoring was performed on patients who underwent orthotopic cardiac transplantation, as part of the investigation of the de…
Diabetic autonomic dysfunction, blood pressure, and sleep
- MedicineAnnals of neurology
- 1985
During rapid eye movement (REM) sleep, the Type I patients had abnormal systolic blood pressure measurements throughout the night, in sharp contrast to those in the other two groups, whose REM sleep–related blood pressure values were slightly above the preceding non‐REM sleep measurements.
Blood pressure and heart rate responses during 24-hour ambulatory monitoring and exercise in men with diabetes mellitus.
- MedicineThe American journal of cardiology
- 1985
Pressor Factors and Responsiveness in Hypertension Accompanying Diabetes Mellitus
- Medicine, BiologyHypertension
- 1985
Sodium retention and cardiovascular hyperreactivity tend to occur even at the normotensive, nonazotemie stage of diabetes and may concomitantly predispose for the frequent development of hypertension in thediabetic population.
Incidence of Diabetic Retinopathy and Relationship to Baseline Plasma Glucose and Blood Pressure
- MedicineDiabetes Care
- 1988
Lower rates of retinopathy development were observed during the follow-up period in diabetic patients on antihypertensive therapy at the baseline examination, suggesting that not only lower fasting plasma glucose and systolic blood pressure levels but also blood pressure therapy itself decreases the incidence of Retinopathy.
Twenty-four-hour blood pressure is not dependent on endogenous circadian rhythm.
- MedicineJournal of hypertension
- 1989
The immediate and complete adaptation of the 24-h blood pressure curve to shifted activity and sleeping phases indicates that activity determines the diurnal blood pressure profile.
Postprandial alterations in cardiovascular hemodynamics in autonomic dysfunction states.
- MedicineThe American journal of cardiology
- 1981
Provocation of Postural Hypotension by Insulin in Diabetic Autonomic Neuropathy
- MedicineDiabetes
- 1976
The effect of insulin administration on blood pressure has been investigated in eight diabetes with autonomic neuropathy, finding variations of postural hypotension recorded in some patients, the standing blood pressure falling with the onset of insulin action and rising again as the latter declines.
Diabetic orthostatic hypotension: the role of total exchangeable sodium and nephropathy.
- MedicineDiabetes research
- 1986
It is suggested that the presence of nephropathy markedly influences sodium balance in diabetics with OH and has a substantial influence on orthostatic BP and PRA responses.