Secondary Causes Of Hypertension

Renal Diseases

Parenchymal (glomerulonephritis, polycystic renal disease, diabetic nephropathy) Renovascular

Endocrine

Primary aldosteronism Cushing syndrome Pheochromocytoma Hyperthyroidism

Growth homione excess (acromegaly) Oral contraceptives

Miscellaneous

Coarctation of the aorta

Increased intravascular volume (posttransfusion) Hypercalcemia

Medications (sympathomimetics, glucocorticoids)

smoking, dyslipidemia, diabetes mellitus, obesity, kidney disease, and a family history of premature cardiovascular disease. Target organ damage of hypertension includes cardiomyopathy, nephropathy, and retinopathy. Although treatment decisions in the management of hypertension depend more upon the blood pressure level (modified perhaps in the presence of diabetes mellitus), the presence of other cardiovascular risk factors and/or evidence of target organ damage may further guide therapy and provide some prognostic information. A complete history and physical examination, including funduscopic examination, auscultation of the major arteries for bruits, palpation of the

Table 9-2

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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