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Clinical Characteristics According to the Presence of the Metabolic Syndrome in Type 2 Diabetic Patients with Hypertension

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dc.contributor.author김, 태호-
dc.contributor.author김, 대중-
dc.contributor.author임, 수-
dc.contributor.author정, 인경-
dc.contributor.author손, 현식-
dc.contributor.author정, 춘희-
dc.contributor.author고, 관표-
dc.contributor.author이, 대호-
dc.contributor.author원, 규장-
dc.contributor.author박, 정현-
dc.contributor.author박, 태선-
dc.contributor.author안, 지현-
dc.contributor.author김, 재택-
dc.contributor.author박, 근규-
dc.contributor.author고, 승현-
dc.contributor.author안, 유배-
dc.contributor.author이, 인규-
dc.date.accessioned2014-01-22T06:27:45Z-
dc.date.available2014-01-22T06:27:45Z-
dc.date.issued2009-
dc.identifier.issn1225-8911-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/9039-
dc.description.abstract한국인 제2형 당뇨병환자에서 대사증후군은 77.9%가 동반되어 있으며, 고혈압의 유병률은 74.9%이었다. 고혈압을 동반한 제2형 당뇨병환자는 89.5%가 대사증후군으로 진단되었다. 또한 대사증후군이 동반된 고혈압 환자의 경우 그렇지 않은 환자에서 보다 항고혈압 약제는 더 많이 사용하고 있음에도 불구하고 혈압 조절이 잘안되고 있는 것으로 나타났다. 일반적인 인구집단에서 대사증후군을 진단하는 것의 필요성에도 논란의 여지가 많지만, 제2형 당뇨병, 특히 고혈압을 동반한 제2형 당뇨병환자에서 대사증후군의 진단이 필요한가에 대한 논란이 있을 수 있다. 하지만 본 연구결과에서 보는 바와 같이 대사증후군이 동반된 고혈압 환자에서는 고혈압 약제의 사용이 더 많이 필요하다. 또한 기존의 당뇨병, 고혈압 환자에서 보이는 심혈관질환의 발생 위험도에 비해 대사증후군이 동반된 경우는 2배 정도 그 위험도가 높아지는 것으로 되어 있기 때문에 좀더 적극적인 혈압 조절과 함께 심혈관질환 예방을 위한 조치 (항혈소판제, 스타틴)가 필요하다.-
dc.description.abstractBackground: The purpose of this study was to analyze the prevalence and characteristics of metabolic syndrome in type 2 diabetic patients with hypertension.



Methods: We collected total 4240 diabetic patients from the data of endocrine clinic of 13 University hospitals in 2006. We used criteria of the American Heart Association/National Heart Lung and Blood Institute and the criteria of waist circumference from the Korean Society for the Study of Obesity as diagnostic criteria of the metabolic syndrome.



Result: 74.9% of type 2 diabetic patients had hypertension and the prevalence of metabolic syndrome in type 2 diabetic patients with hypertension was 89.5%. Only 35.5% of diabetic patients had well controlled blood pressure below 130/80mmHg. Patients who had metabolic syndrome in type 2 diabetic patients with hypertension used more BP lowering medications (1.5 vs. 1.0), but didn’t control well.



Conclusion: The prevalence of metabolic syndrome was 89.5% in type 2 diabetic patients with hypertension. Although more BP lowering medication has been used, control rate is lower than those not having metabolic syndrome. We need to pay more attention to control blood pressure in type 2 diabetic patients with hypertension and metabolic syndrome.
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dc.language.isoko-
dc.titleClinical Characteristics According to the Presence of the Metabolic Syndrome in Type 2 Diabetic Patients with Hypertension-
dc.title.alternative고혈압을 동반한 제2형 당뇨병환자에서 대사증후군 동반에 따른 임상적 특성-
dc.typeArticle-
dc.identifier.urlhttp://www.jkosh.or.kr/journal/view.html?uid=112&start=&sort=Regnum-0&scale=50&key=&oper=&key_word=&year1=&year2=&Vol=015&Num=03&PG=&book=Journal&mod=vol&sflag=&sub_box=Y&aut_box=Y&sos_box=&pub_box=Y&key_box=&abs_box=&year=2009-
dc.subject.keywordDiabetes mellitus-
dc.subject.keywordHypertension-
dc.subject.keywordMetabolic syndrome-
dc.contributor.affiliatedAuthor김, 태호-
dc.contributor.affiliatedAuthor김, 대중-
dc.type.localJournal Papers-
dc.citation.titleJournal of the Korean Society of Hypertension-
dc.citation.volume15-
dc.citation.number3-
dc.citation.date2009-
dc.citation.startPage36-
dc.citation.endPage42-
dc.identifier.bibliographicCitationJournal of the Korean Society of Hypertension, 15(3). : 36-42, 2009-
dc.relation.journalidJ012258911-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Endocrinology & Metabolism
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