Hipertansif Tip 2 Diyabetik Hastalarda Farklı Antihipertansif İlaç Rejimlerinin İnsülin Direnci Üzerine Etkisi

Cilt: 43 Sayı: 3 1 Eylül 2017
  • Müge Erek
  • Alparslan Ersoy
  • Canan Ersoy
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The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients

Öz

We aimed to compare the short-term efficacies of losartan treatment alone and in combination with cilazapril or carvedilol on blood pressure, glycemic control, insülin resistance (IR) and lipid profile in hypertensive type 2 diabetic patients. The study included 21 type 2 diabetic and hypertensive patients. After 2 weeks follow-up (Period 1), patients received losartan 50 mg/day for 6 weeks (Period 2). Then, patients were divided into 3 groups for 6 weeks: losartan 100 mg/day (Group 1), losartan 50 mg/day and carvedilol 25 mg/day (Group 2) or cilazapril 5 mg/day (Group 3) (Period 3). After losartan treatment, mean body mass index, blood pressure, waist and hip circumferences decreased significantly. Systolic blood pressures decreased in all groups in period 3. Only the decrease in diastolic blood pressure in Group 3 was significant. Body mass index in Group 1, waist circumference in Group 1 and Group 3, and hip circumference in Group 1 significantly decreased. In period 1, 2 and 3, glucose, insulin, HOMA IR, fructosamine, HbA1c and lipid values of the patients did not change significantly. High-dose losartan, losartan+cilazapril and losartan+carvedilol treatments decreased blood pressure in type 2 diabetic patients. However, these regimens did not affect glycemic control, IR and lipid profile.

Anahtar Kelimeler

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

Müge Erek Bu kişi benim

Alparslan Ersoy Bu kişi benim

Canan Ersoy Bu kişi benim

Yayımlanma Tarihi

1 Eylül 2017

Gönderilme Tarihi

1 Eylül 2017

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2017 Cilt: 43 Sayı: 3

Kaynak Göster

APA
Erek, M., Ersoy, A., & Ersoy, C. (2017). The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients. Journal of Uludağ University Medical Faculty, 43(3), 123-128. https://izlik.org/JA79EL28NR
AMA
1.Erek M, Ersoy A, Ersoy C. The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients. Uludağ Tıp Derg. 2017;43(3):123-128. https://izlik.org/JA79EL28NR
Chicago
Erek, Müge, Alparslan Ersoy, ve Canan Ersoy. 2017. “The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients”. Journal of Uludağ University Medical Faculty 43 (3): 123-28. https://izlik.org/JA79EL28NR.
EndNote
Erek M, Ersoy A, Ersoy C (01 Eylül 2017) The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients. Journal of Uludağ University Medical Faculty 43 3 123–128.
IEEE
[1]M. Erek, A. Ersoy, ve C. Ersoy, “The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients”, Uludağ Tıp Derg, c. 43, sy 3, ss. 123–128, Eyl. 2017, [çevrimiçi]. Erişim adresi: https://izlik.org/JA79EL28NR
ISNAD
Erek, Müge - Ersoy, Alparslan - Ersoy, Canan. “The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients”. Journal of Uludağ University Medical Faculty 43/3 (01 Eylül 2017): 123-128. https://izlik.org/JA79EL28NR.
JAMA
1.Erek M, Ersoy A, Ersoy C. The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients. Uludağ Tıp Derg. 2017;43:123–128.
MLA
Erek, Müge, vd. “The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients”. Journal of Uludağ University Medical Faculty, c. 43, sy 3, Eylül 2017, ss. 123-8, https://izlik.org/JA79EL28NR.
Vancouver
1.Müge Erek, Alparslan Ersoy, Canan Ersoy. The Effect of Different Antihypertensive Drug Regimens on Insulin Resistance in Hypertensive Type 2 Diabetic Patients. Uludağ Tıp Derg [Internet]. 01 Eylül 2017;43(3):123-8. Erişim adresi: https://izlik.org/JA79EL28NR

ISSN: 1300-414X, e-ISSN: 2645-9027

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Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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