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FAQ - Frequently Asked Questions about Diabetes and Hypertension

(This website is provided for informational purposes only and should not be considered as recommending specific treatments or rendering medical advice. You should not rely on any information in this website to replace evaluations with qualified health care professionals to address your specific medical condition. Contact your health care provider for specific information concerning your disease and its treatment. Some of the information contained below is excerpted from the U.S. Food and Drug Administration Diabetes Information web site, for up-to-date information visit their site at http://www.fda.gov/diabetes/).

What is diabetes?
How do I know if I have diabetes?
What factors increase my risk of getting diabetes?
How will my doctor test me for diabetes?
How can I reduce my chance of getting diabetes?
I have been diagnosed with Type II diabetes, why do I also need to be concerned about high blood pressure?
I get my blood pressure taken at my doctor's office; why should I also take my blood pressure at home?
What disease conditions can result from diabetes and hypertension?
I have heard that high blood pressure and diabetes can lead to kidney disease, is this true?
I am excited about the DUO-CARE combined blood glucose and blood pressure monitor; do I need a doctor’s prescription to purchase one?
Can I use glucose test strips supplied by another manufacturer?
Where can I find more information about diabetes and high blood pressure?


How can I reduce my chance of getting diabetes?

A recent study funded by the Federal government of 3,234 persons at high risk for diabetes showed that diet and exercise can sharply lower the risk of getting type 2 diabetes.

The Diabetes Prevention Program (DPP) was a major clinical study of ways to prevent or delay diabetes in persons at high risk for type 2 diabetes. Patients were overweight and had higher than normal levels of blood glucose, called impaired glucose tolerance. Both conditions are strong risk factors for type 2 diabetes. Because of the high risk among some minority groups, about half of the DPP participants were African American, American Indian, Asian American, Pacific Islander, or Hispanic.

The DPP compared two methods for preventing diabetes: (1) an intensive program of healthy eating and exercise and (2) the use of metformin, a diabetes drug. Persons who engaged in moderate physical activity for about 30 minutes a day, followed a low-fat and low-calorie diet, and lost 5 to 7 percent of their body weight (or about 12 pounds for someone who weighs 200 pounds) cut their risk of getting type 2 diabetes by about one half (58%). Those persons receiving metformin reduced their risk by one third (31%).


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I have been diagnosed with Type II diabetes, why do I also need to be concerned about high blood pressure?

Many diabetics are aware of the need for routine blood glucose measurements for effective control of their condition. However, a majority of diabetics also have high blood pressure and many are unaware of this condition and its impact on diabetic complications. Data from numerous medical studies show the direct relationship between elevated blood pressure and cardiovascular disease. Cardiovascular disease accounts for up to 80% of the deaths in persons with type 2 diabetes (Haffner, S., et al., 1988, N. Eng. J. Med., 339:229-234). Moreover, hypertension is twice as common in persons with diabetes as it is in others (Epstein, M., et al., 1992, Hypertension, 19:403-418).

There are clear medical studies showing that careful control of blood pressure to levels <140 mmHg (systolic) markedly reduces cardiovascular disease and mortality and the development of end-stage renal disease in persons with type 2 diabetes. In one major study, elderly persons with type 2 diabetes received more benefit from blood pressure lowering in reduction of cardiovascular disease than did persons without diabetes. (Sowers, J., et al., 2001, Hypertension, 37:1053-1059).


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I get my blood pressure taken at my doctor's office; why should I also take my blood pressure at home?

Blood pressure measurements at your doctor's office are vitally important for the diagnosis and management of hypertension and other disease states - home blood pressure measurements are not a substitute for doctor's visits. However, home blood pressure measurements can provide valuable additional information to your and your physician. Home blood pressure measurements are safe, quick, and easy to perform using automated monitors, such as the DUO-CARE monitor. Taking your blood pressure at home can provide information on a daily basis to help monitor the effectiveness of medications, give you information on daily blood pressure trends, and understand more fully the connection of blood pressure to daily activities. Importantly for the diabetic patient, regular blood pressure measurements reinforces the significance of high blood pressure in development of diabetes complications and the importance of blood pressure control. Routine measurements can be part of a healthy lifestyle that includes diet, exercise, and improved disease awareness.


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Continued Pg 5> About Diabetes > F.A.Q


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