Hypertension in diabetic patients--use of exercise in treatment

Abstract

Prevalence of hypertension is greater than normal in patients with type 1 (insulin-dependent) and type 2 (non-insulin-dependent) diabetes. In those with type 2 diabetes insulin resistance and hyperinsulinaemia may play a part in the pathogenesis of hypertension independent of obesity. Regular physical activity increases insulin sensitivity through its effect on glucose utilisation in peripheral (muscle) tissue. Furthermore, physical activity helps control weight, and it may reduce blood pressure and, serum cholesterol and triglycerides concentrations while increasing the amount of high-density lipoprotein cholesterol. So physical exercise programmes should be included in the management of patients with type 2 diabetes. Suitable exercise forms and programmes can be prepared for most patients.