Diabetes combined hypertension: health management at double risk

Diabetes and high blood pressure, like two hidden health “killers”, when accompanied, pose a double risk to patients of far more than a single disease, posing a serious threat to life and health. Scientific health management in such complex situations is therefore of particular importance. The persistence of diabetes in a high blood sugar environment can damage inner-vascular cell and reduce vascular wall elasticity, leading to high blood pressure, which in turn increases the cardiovascular burden of diabetes patients, affects blood in organs such as kidneys, further exacerbates diabetes and creates a vicious circle. According to statistics, the prevalence of hypertension among diabetes patients is significantly higher than among the general population, and the risk of cardiovascular diseases, such as coronary heart disease, myocardial infarction and moderate brain infarction, has increased significantly, leading to an increased risk of kidney failure. Dietary management is the cornerstone of the management of combined hypertension for diabetes. Patients should follow the diet principles of low sugar, low salt, low fat and high fibre. Strict control of daily intake of salt, not exceeding 5 grams, reduces intake of salty foods such as pickled foods and processed meat, and helps to reduce blood pressure. With regard to the control of blood sugar, a rational distribution of the proportion of carbohydrates, proteins and fats, and increased intake of foods rich in foods such as vegetables, fruits and whole grains, both enhances the abdominal feeling and slows the absorption of carbohydrates and stabilizes blood sugar levels. For example, for breakfast, oatmeal can be chosen with low sugared fruit and boiled eggs, avoiding fried foods such as oil bars and oil cakes. At the same time, the intake of saturated fatty acids and cholesterol, such as larvae, fried foods, etc., should be limited, and good-quality proteins, such as skinny meat, fish, beans, etc., should be adequately consumed. Physical exercise is essential to improve the condition of both diseases. Moderate motion increases CPR function, increases body sensitivity to insulin, reduces blood sugar, and helps reduce blood pressure. Patients can choose their own way of moving, such as walking, jogging, Tai Chi, swimming, etc., with a minimum of 150 minutes of medium strength per week. Sports need to be gradual in order to avoid overwork and intense activity and to prevent sharp increases in blood pressure and low blood sugar. Before and after the exercise, warm and relaxed activities are carried out and candy or biscuits are carried with them for the timely resupply of energy when low blood sugar is available. Drug treatment is a key component in the control of diabetes combined hypertension. Patients are strictly required to take sugar and depressants on time and in accordance with medical instructions, and are not allowed to increase or stop their use. With regard to the choice of sugar medicine, doctors consider it in the light of the patient ‘ s type of diabetes, severity, liver and kidney function. Pressure-relief drugs, which usually give preference to an accelerant conversion enzyme inhibitor (ACEI) or an vascular stressor II receptor (ARB), are not only effective in reducing blood pressure but also have some protective effect on the kidneys, especially for patients with diabetes kidneys. In the course of the drug use, patients closely monitor their blood sugar, blood pressure changes, regularly review indicators such as liver and kidney function, electrolytics, and provide timely feedback to doctors on the efficacy and adverse effects of the drug, so that doctors can adjust their treatment programmes. In addition to diet, exercise and medication, patients need to focus on daily self-monitoring and living habits. Blood sugar and blood pressure are regularly measured and recorded in order to detect abnormal fluctuations in a timely manner. Maintaining good pacing, avoiding lateness, ensuring adequate sleep and facilitating metabolic and endocrine regulation of the body. Prohibition of smoking is limited to alcohol, as smoking and overdrinking can cause further damage to inner-vascular cells and increase the disease. In addition, care should be taken to maintain an optimistic and positive mindset and to avoid chronic stress, anxiety and depression, which can also affect blood sugar and blood pressure. Diabetes, combined with high blood pressure, presents a dual health challenge, but with scientifically sound diet management, regular exercise, standard medication and good living habits, patients can effectively control the development of conditions, reduce the risk of complications and, in the shadow of the double risk, open a path to health, improve the quality of life and extend the length of life.