White coat hypertension in type 1 diabetic patients without nephropathy |
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| Affiliation: | 1. Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Urbana, IL, USA;2. Beckman Institute for Advanced Science and Technology, University of Illinois Urbana Champaign, Urbana, IL, USA;3. Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA;4. Institute of Gerontology, Department of Psychology, Wayne State University, Detroit, MI, USA |
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| Abstract: | The aim of our study was to determine the prevalence of white coat hypertension (WCH) in type 1 diabetic patients. Therefore, ambulatory blood pressure monitoring (ABPM) and 24-h urinary albumin excretion (UAE) were determined in 47 patients with type 1 diabetes mellitus (27 with new diagnosis of hypertension by office blood pressure (BP) measurement and 20 with normotension). WCH was diagnosed in 20 patients (74%). Patients with WCH presented higher values of systolic and diastolic BP and UAE than normotensive patients. The results indicate that in type 1 diabetes mellitus WCH is very frequent. Thus, WCH may represent a potential risk for the development of diabetic complications, mainly diabetic nephropathy. |
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