What Would You Do For This Diabetic With This ABPM Results?
A 76 years old man, type 2 diabetic for 10 years, on 1.0 gram of Metformin, HBA1C of 8%, BMI of 28.5, No Microalbuminuria, small right carotid intima thickness but no plaques. He has a healthy Life Style with regular exercises and Diet, takink also 10 mg Atorvastatin, and on Amlodipine 5 mg/day had a 24 hour Arterial Blood Pressure Monitoring requested by his GP because of his Hypertension. This are the Main Results Report:
- Mean 24 hours Systolic BP: 144 mmHg.
- Mean 24 hours Diastolic BP : 84 mmHg.
- Mean Systolic Daytime BP: 146 mmHg.
- Mean Night time Systolic BP 142 mmHg.
- Mean Daytime Diastolic BP: 86 mmHg
- Mean Nigh time Diastolic BP: 82 mmHg.
- Reduction of Night Time Dipper of Systolic and Diastolic BPs. Normal value, a Night BP reduction: beteween 10 to 20%. So he is considered as a "Non-Dipper" patient..
What Would you Do?
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: Joey Rio Source Type: forums
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