According to statistics, the prevalence of hypertension among obese people is two to six times that of normal-weight people. And half of the hypertensive patients are fat, especially in middle-aged people. And obese hypertensive patients, but also alert to diabetes! If high blood pressure has become a reality, we should take the attitude of “both to come, it is safe”, especially obese hypertensive patients, should pay attention to the following three aspects: 1, at least once a year to measure the fasting blood glucose and postprandial blood glucose If you find that the fasting blood glucose in 6.1 to 7.8 millimoles / liter (mmol / L), or 2 hours after eating blood glucose in the 7.8～11.1 millimole/liter (mmol/L), it should be rechecked again, and if it is still abnormal, it should be regarded as abnormal glucose tolerance, and there is the possibility of pre-diabetes. 2, at least once a year to measure blood lipids If found that triglyceride is greater than 1.7 millimoles / liter (mmol / L), or high-density lipoprotein cholesterol (HDL-C) men less than 0.9 millimoles / liter (mmol / L), women less than 1.0 millimoles / liter (mmol / L), that is, the fat metabolism is abnormal. Dyslipidemia is related to insulin sensitivity, the higher the triglyceride, the more likely to develop diabetes. 3, pay attention to changes in waist circumference In addition to frequent weighing, but also to measure the waist circumference. If the waist circumference of men is greater than 85 to 90 centimeters (2 feet 5 inches and a half ~ 2 feet 7 inches), women greater than 80 to 85 centimeters (2 feet 4 inches ~ 2 feet 5 inches and a half), is abdominal obesity. In other words, there is an excessive accumulation of abdominal fat, which is more dangerous than simply being overweight. Compared to Westerners, Chinese people have shorter limbs and tend to have larger waists, making them susceptible to abdominal obesity. Abdominal obese people are especially prone to diabetes, which is why the western white people big fat than the Chinese people much more, but diabetes is not higher than the incidence of China. Obese hypertensive patients should pay attention to the above three abnormalities are early signs of diabetes, especially abnormal glucose tolerance is the most dangerous. Every year, among the people with abnormal glucose tolerance, 10% to 15% turn into type 2 diabetes. If all three of these conditions are present at the same time, the likelihood of developing diabetes is 2.3 times higher. In the occurrence of diabetes in the population, abdominal obesity accounted for the highest proportion of abdominal obesity will induce fatty liver, but also often have elevated blood uric acid, i.e., gout and so on. This series of metabolic abnormalities are risk factors for cardiovascular, cerebral, renal and vascular damage. If you find that you have the above metabolic abnormalities, you should not let it happen, thinking that there is no obvious discomfort and no need for treatment. On the contrary, you should take medication as soon as possible. At the same time of medication, it is necessary to check blood lipid and blood sugar regularly, limit fat and sugar, effectively implement weight loss, and increase exercise.