E-ISSN 2602-3164
EJMI. 2023; 7(3): 215-218 | DOI: 10.14744/ejmi.2023.31637

Comparison of Daily Home Blood Pressure Variability in Type 2 Diabetes Mellitus Patients With and Without Diabetic Nephropathy

Onur Tunca1, Elif Dizen Kazan2, Sinan Kazan1
1Department of Nephrology, Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, Türkiye, 2Department of Internal Medicine, Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, Türkiye

Objectives: In this study, we aimed to compare daily home blood pressure (BP) variability in Type 2 diabetes mellitus patients with and without diabetic kidney disease (DKD). Methods: We reviewed all Type 2 diabetic patients’ files admitted to the nephrology outpatient clinic between January 2021 and January 2022. Patients who applied to our outpatient clinic with 10-day BP measurements at home were included in the study. Patients with ?30 mg/g albumin excretion were defined as patients with DKD. Patients with albumin excretion <30 mg/g were defined as patients without DKD. Systolic and diastolic BP variability was evaluated with the average real variability (ARV). Results: The study was conducted with a total of 243 Type 2 diabetes mellitus patients. The mean age of the patients was 55.4±14.9 years. Systolic ARV (SysARV) was found statistically significantly higher in patients with DKD (p=0.009). SysARV was also found to be statistically significantly higher in patients with severe albuminuria than in patients with moderate albuminuria (p<0.001). Diastolic ARVs was found to be similar between patients with and without DKD and in albuminuria groups in patients with DKD (p=0.289 and p=0.171, respectively). Conclusion: The present study shows that systolic BP variability is higher in patients with DKD. Type 2 diabetic patients with higher SysARV can be followed more closely in terms of DKD. Keywords: Albuminuria, blood pressure, diabetes mellitus, diabetic nephropathy


Cite This Article

Tunca O, Dizen Kazan E, Kazan S. Comparison of Daily Home Blood Pressure Variability in Type 2 Diabetes Mellitus Patients With and Without Diabetic Nephropathy. EJMI. 2023; 7(3): 215-218

Corresponding Author: Onur Tunca

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