A meta-analysis of 21 studies of type I and II diabetics under therapy with ACE inhibitors was performed. 3 Hypertension was found to be 2.6 times higher for diabetic patients than for those with no diabetes. 4 Hypertension contribute to the development and progression of chronic complications of diabetes. Hypertension should be treated aggressively to achieve and maintain blood pressure in the normal range. The incidence of cardiovascular disease is four to five times greater in people with diabetes than in people without diabetes.
Lipid disorders is one of the major risk factors for people with diabetes.
In USA foot problems are common in the 12 million diagnosed and undiagnosed diabetic subjects, and result in extensive hospitalization, disfiguring surgery, lifetime disability, and a diminished quality of life. Foot pathology has been reported as the most common complication of diabetes leading to hospitalization. Economic considerations extend beyond direct cost, where indirect cost estimates describing lost economic productivity because of related illness, disability, and premature death. To minimize as much as possible the number of hypoglycaemic attacks while maintaining reasonable euglycemia, and to investigate and prevent completely severe attacks that may be life threatening. All patients aged 12-30 yr.