Abstract :
Background: Non-dipping of nocturnal blood pressure is common in people with type 2 diabetes with hypertension and is
associated with increased risk of cardiovascular and renal morbidity and mortality. This study aimed to identify the pattern
of nocturnal non-dipping of BP in people with type 2 diabetes and its association with microalbuminuria. Methods: Data
was examined from 100 patients with type 2 diabetes with hypertension who had undergone 24hrs ambulatory BP
monitoring and it was correlated with urinary ACR, which was done in morning spot urine sample of all the patients.
Results: Normal dipping was observed in 45%, non dipping in 46%, extreme dipping in 6% and 3% were reverse dippers
in patients having type 2 diabetes and hypertension. It was observed that 24 hr dipping pattern of blood pressure and was
strongly related to microalbuminuria (p
Keyword :
dipping, non-dipping, ambulatory BP monitoring, albuminuria.