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Effects of perindopril in hypertensive patients with or without type 2 diabetes mellitus, and with altered insulin sensitivityService d'Endocrinologie Diabétologie Nutrition, Groupe Hospitalier Bichat - Claude Bernard, 46 rue Henri Huchard, 75877 Paris Cedex 18, France.
Service d'Endocrinologie Diabétologie Nutrition, Groupe Hospitalier Bichat - Claude Bernard, 46 rue Henri Huchard, 75877 Paris Cedex 18, France. Impaired insulin sensitivity and hypertension are risk factors for atherosclerosis, which in turn leads to a variety of cardiovascular diseases. In both conditions, the risks of morbidity and mortality appear to be further increased. Impaired insulin sensitivity is also a precursor for diabetes. The renin-angiotensin-aldosterone system (RAAS) is implicated in the development of both hypertension and insulin resistance. Antihypertensive agents that act by blocking the RAAS, such as angiotensin-con-verting enzyme (ACE) inhibitors, may improve insulin sensitivity and therefore prevent the deleterious consequences of insulin resistance, including type 2 diabetes. ACE inhibitors appear to improve insulin sensitivity in patients with hypertension and insulin resistance, including diabetes. This review assesses the literature surrounding the use of the ACE inhibitor perindopril in patients with hypertension and varying degrees of insulin resistance, including the effects of perindopril in preventing the development of diabetes and subsequent cardiovascular morbidity and mortality.
Key Words: cardiovascular diseases diabetes mellitus hypertension insulin resistance
Diabetes and Vascular Disease Research, Vol. 4, No. 3,
163-173 (2007) |
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