Methods for Measuring Blood Pressure and Applications to Diabetes

A Focus on Children, Adolescents, and Young Adults

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Biomarkers in Diabetes

Abstract

The prevalence of hypertension in youth with diabetes is higher than in the nondiabetic individuals. Hypertension is a major cardiovascular risk factor in diabetes and contributes to the development of macro- and microvascular complications. Blood pressure (BP) measurement is essential for diagnosing hypertension. Office BP measurement is widely used but can be misleading. Twenty-four-hour ambulatory monitoring is recommended for detecting white-coat, masked, and non-dip** hypertension, yet it is not easily available in primary care. Home BP monitoring is more easily accessible in primary care, yet it is scarcely investigated in children, particularly those with diabetes. Proper measurement BP methodology and devices validated specifically in children should be used with all methods. In this chapter theoretical and practical information and guidance is provided for measuring office, ambulatory, and home BP in children, adolescents, and young adults with diabetes.

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Abbreviations

AAP:

American Academy of Pediatrics

ABPM:

Ambulatory blood pressure monitoring

BP:

Blood pressure

ESH:

European Society of Hypertension

HBPM:

Home blood pressure monitoring

KiGGS:

German Health Interview and Examination Survey for Children and Adolescents

OBPM:

Office blood pressure measurement

T1D:

Type 1 diabetes

T2D:

Type 2 diabetes

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Vazeou, A., Stergiou, G.S. (2023). Methods for Measuring Blood Pressure and Applications to Diabetes. In: Patel, V.B., Preedy, V.R. (eds) Biomarkers in Diabetes. Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Cham. https://doi.org/10.1007/978-3-031-08014-2_37

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