News: Early hypertension linked to a poorer prognosis in T2D, study finds

According to a recent study published in Diabetes Care, both young-onset hypertension and late-onset hypertension were associated with higher risks for cardiovascular disease (CVD), congestive heart failure, chronic kidney disease, and all-cause mortality for patients with type 2 diabetes (T2D). Researchers also found that young-onset hypertension was linked to poorer outcomes than late-onset, Medscape Medical News reported.

The study included data from 19,224 patients with T2D and young-onset hypertension and 57,795 with late-onset hypertension, as well as an equal number of patients who had T2D but not hypertension in both age groups. After seven to eight years, the incidence of CVD (such as stroke, coronary artery disease, and peripheral artery disease), chronic kidney disease, end-stage kidney disease, congestive heart failure, and all-cause mortality were compared between young-onset and late-onset, as well as between each with the groups with no hypertension.

Researchers found that young-onset hypertension was significantly associated with increased risks for all the above compared to patients with no hypertension. Late-onset hypertension showed the same increased risk, but to a lesser degree than young-onset hypertension.

Results also showed that excess risks for cardiovascular and coronary heart disease associated with young-onset hypertension were significantly greater in women than in men.

“Our results highlight the clinical burden of young individuals with T2D and comorbid hypertension, underscoring the importance of developing interventions specifically tailored to this population,” wrote the study authors.

Editor’s note: To read Medscape Medical News’ coverage of this story, click here. To read the full study, click here.