Focus on hypertension combined with diabetes

  Hypertension is the number one killer of the health of our residents, and the greatest danger lies in leading to chronic cardiovascular diseases, such as coronary heart disease and stroke. The prevalence of hypertension is high, and it is on the rise year by year. At present, there are 270 million Chinese adults with hypertension, accounting for 18.8% of the total population, and even up to 30% in some northern regions, and another 300 million people with normal high blood pressure, the situation is really worrying.  Among hypertensive patients, there is especially a class of people who are at high risk, that is, hypertension combined with diabetes patients. Studies have shown that elderly patients with hypertension complicated by diabetes have a significantly higher incidence of major cardiovascular events, coronary events and strokes compared to non-diabetic patients, with a mortality rate that is more than seven times higher, which is considered a “lethal combination.  Unfortunately, these patients are not in the minority: studies have shown that more than one-third of patients with hypertension have combined diabetes and more than 60% of patients with diabetes have combined hypertension. A 2010 study of Chinese chronic diseases among nearly 100,000 adults showed that the prevalence of diabetes was 11.6%, but two-thirds of these patients were newly diagnosed; 50.1% were found to be pre-diabetic. The treatment effect among the known patients is also unsatisfactory. The current awareness rate, treatment rate, control rate and treatment control rate of hypertension in China are 42.6%, 34.1%, 9.3% and 27.4%, respectively; the awareness rate of diabetes is 30.1%, treatment rate is 25.8% and treatment compliance rate (glycosylated hemoglobin less than 7.0%) is 39.7%. 25817 cases of type 2 diabetes patients were investigated, which showed that the combined blood glucose, lipid and blood pressure compliance rate of diabetic patients were The combined rate of attainment of blood glucose, lipids and blood pressure was only 5.6%. It is clear that there are many high-risk patients who urgently need to be identified and treated effectively.  Screening and regular medical checkups are effective means of early detection. At the same time, changing poor lifestyles is the root of lowering blood pressure and sugar. The results of the 20-year follow-up of the Daqing Diabetes Prevention Study showed that the lifestyle intervention group had a 40% reduction in cardiovascular death, a 30% reduction in all-cause death, and a 50% reduction in the risk of new-onset diabetes over 23 years. This shows that by changing bad habits, moderate exercise, green diet and regular medical checkups, we can stay away from diseases and live a healthy life.