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Blood glucose and nocturnal blood pressure in African and Caucasian men: The SABPA study.

Abstract：

AIM:To investigate the relationship between nocturnal blood pressure and chronically elevated blood glucose to determine if these elevated blood glucose concentrations contribute to a non-dipping blood pressure, especially in high-risk groups such as Africans. METHODS:Nocturnal blood pressures and blood glucose levels of 41 non-dipping African and 28 non-dipping Caucasian men were investigated. Ambulatory systolic (SBP) and diastolic blood pressure (DBP) were measured and blood collected in sodium fluoride tubes from the antebrachial vein to determine serum glucose and glycosylated hemoglobin A1c (HbA1c) percentage. The estimated average glucose (eAG) was determined from HbA1c percentage with a regression formula. RESULTS:The African non-dippers had higher blood pressures (p<0.001) and elevated HbA1c (p=0.037) and eAG (p=0.041) levels compared to the Caucasians. In single, partial and multiple regression analyses nighttime (00:00-04:00) SBP correlated positively with HbA1c (p=0.069) and eAG (p<0.001) in the African men. No correlations were found in the Caucasian men. Sensitivity analysis confirmed that the association between nighttime SBP (00:00-04:00) and eAG was independent of carotid intima-media thickness in the African men (R(2)=0.617; β=0.438; p=0.008). CONCLUSION:The blunted nocturnal decline in SBP during the early morning hours is associated with chronically elevated blood glucose in non-dipper African men.

journal_name

Diabetes Res Clin Pract

journal_title

Diabetes research and clinical practice

authors

Lammertyn L,Schutte AE,Schutte R

doi

10.1016/j.diabres.2011.05.011

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

235-242

issue

2

eissn

0168-8227

issn

1872-8227

pii

S0168-8227(11)00238-5

journal_volume

93

pub_type

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