1. Introduction
2. Overview of Diabetes Mellitus
Description
Prevalence
Classification
Presentation
Diagnosis
Screening for Diabetes
Management of Diabetes
Natural History and Prognosis
3. Overview of Diabetic Hypertension
Epidemiology
Natural History
Goals of Therapy
Pathophysiology
Approach to Diagnosis and Treatment
Effect of Treatment
Awareness, Treatment, and Control
Prevention
4. Approach to Management of Diabetic Hypertension
Step 1. Confirm the Diagnosis
Proper Measurement Technique
White-Coat and Pseudohypertension
Identify Other Cardiac Risk Factors
Ambulatory Blood Pressure Monitoring
Step 2. Evaluate the Patient Clinically
Assessment of Target Organ Damage
Detection of Secondary Hypertension
Step 3. Initiate Treatment
Blood Pressure Goals
Approach to Treatment
Therapeutic Lifestyle Changes
Optimizing Compliance
5. Treatment of Diabetic Hypertension
Blood Pressure Goals
Therapeutic Lifestyle Changes
Initial Drug Therapy
Rapidity of Blood Pressure Lowering and Intensification of Drug Therapy
6. Major Drug Classes Used for Diabetic Hypertension
Angiotensin II Receptor Blockers
ACE Inhibitors
Diuretics
Beta Blockers
Calcium Antagonists
Vasodilators
7. Resistant Hypertension
8. Secondary Hypertension
9. Other Measures to Improve Cardiovascular Prognosis
Cardiovascular Disease and Diabetes
Intensive Glycemic Control
Intensive Control of Diabetic Dyslipidemia
Diet Modification
Physical Activity
Weight Control
Smoking Cessation
Psychosocial Risk Factor Reduction
10. Metabolic Syndrome
Definition
Prevalence
Presentation and Diagnosis
Etiology
Clinical Sequelae
Cardiovascular Disease
Type 2 Diabetes
Other Associated Conditions
Management
References and Suggested Readings
Index