Patients With T1D Show Poor BP Control During Exercise

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Patients With T1D Show Poor BP Control During Exercise
Diabetes Mellitus Type IType 1 DiabetesType 1 DM
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Patients with T1D show poorer blood pressure control during exercise than the general population, which can serve as an early marker of cardiovascular risk, a recent study hints.

exhibited significantly greater increases in both systolic and diastolic blood pressure during the cardiopulmonary exercise stress test than healthy control individuals. Resting systolic blood pressure and the duration of diabetes were significant predictors of higher blood pressure during exercise.

This study enrolled 52 patients with T1D, including younger patients with a disease duration of more than 5 years, and 25 healthy control individuals. Participants underwent a cardiopulmonary exercise stress test using a stationary cycle ergometer; manual blood pressure measurements were taken at rest, during submaximal intensities including at peak exercise, and during the recovery phase.Excessive blood pressure response to exercise was defined as either a peak systolic blood pressure > 210 mm Hg in men and > 190 mm Hg in women or an increase in systolic blood pressure by > 30 mm Hg from baseline at the submaximal workload of 1.

Patients with T1D showed higher systolic and diastolic blood pressure than control individuals at both submaximal exercise intensities (1.0 W/kg;In the multivariate analysis, resting systolic blood pressure and diabetes duration were the only significant predictors of peak systolic blood pressure during exercise.

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