[Treatment of hypertonus in diabetes mellitus]

Z Gesamte Inn Med. 1975 Jul 1;30(13):437-42.
[Article in German]

Abstract

When pathophysiological and pathogenetic aspects of hypertension are taken into consideration with special regard to diabetes mellitus the exhaustion of the "insulin enhancement" within the cerebrovisceral functional systems (Baumann) are discussed and the authors enter possible connections of diabetes mellitus to the renin-angiotensin-aldosterone system. After explanation of the diabetogenic and antidiabetogenic pharmacodynamic qualities of the antihypertensive drugs adequate therapeutic recommendations are proposed summarized in a figure. The authors conclude that for the present antihypertensive therapy in diabetics taking into consideration the references reported on there are sufficient possibilities of treatment for all degrees of severity of hypertension. Such preparations as Rausedan, Disotat, Dopegyt appear as particularly suitable; moreover, the beta receptor blockers, Haemiton, Depressan as well as Guanitil and Pargylin prove to be possible or without disadvantage, respectively. Especially when diuretics are described an exact control of the metabolism should be carried out.

Publication types

  • English Abstract

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Antihypertensive Agents / therapeutic use*
  • Diabetes Complications*
  • Diabetes Mellitus / chemically induced
  • Ethacrynic Acid / therapeutic use
  • Furosemide / therapeutic use
  • Guanethidine / therapeutic use
  • Humans
  • Hypertension / diet therapy
  • Hypertension / etiology
  • Hypertension / therapy*
  • Methyldopa / therapeutic use
  • Spironolactone / therapeutic use
  • Thiazines / adverse effects
  • Thiazines / therapeutic use

Substances

  • Adrenergic beta-Antagonists
  • Antihypertensive Agents
  • Thiazines
  • Spironolactone
  • Methyldopa
  • Furosemide
  • Ethacrynic Acid
  • Guanethidine