High blood pressure, a silent killer everyone needs to know.

The prevalence rate of hypertension is about 27.9%, that is, 1/4 of people have hypertension. The National Cardiovascular Disease Center and the Chinese Association of Physicians have jointly issued the guidelines on Clinical practice of Hypertension in China. The diagnosis of hypertension in adults in China has been lowered from ≥ 140/90mmHg to ≥ 130/80mmHg. People whose blood pressure is originally in the 130/80mmHg~140/90mmHg range will go from "normal high blood pressure" where hypertension is terrible, hypertension is more secret, acute complications of diabetes are obvious, whether it is diabetic ketoacidosis, diabetes, hyperosmotic coma, retinopathy with chronic complications, and many people are tolerant to blood pressure, because blood pressure is low, why is there such a high blood pressure? Long-term high blood pressure makes some of our organs overloaded, and the resistance of the body makes us increase our blood pressure to supply blood, so the heart needs to pump more blood to satisfy it.

Today we put aside diabetes and talk about the most common concomitant disease of diabetes: hypertension, known as the silent killer of hypertension.

According to the report of China Cardiovascular Journal, the prevalence rate of hypertension among adults over 18 years old in China is about 27.9%, that is, 1/4 people have hypertension. This is the data of 2020. From November 13, 2022, many otherwise healthy adults were forced to join the ranks of hypertension, why they were forced to join, because that day. The National Center for Cardiovascular Diseases and the Chinese Association of Physicians have jointly issued the guidelines for Clinical practice of Hypertension in China. According to the new guidelines, the diagnosis of hypertension in Chinese adults has been downgraded from ≥ 140/90mmHg to ≥ 130/80mmHg. This means that people with blood pressure in the 130/80mmHg~140/90mmHg range will be transferred from "normal high blood pressure" to high blood pressure.

Where is hypertension terrible? compared with diabetes, hypertension is more secret, and the acute complications of diabetes are very obvious. whether it is diabetic ketoacidosis, diabetes, hyperosmotic coma, or hypoglycemia, the symptoms are very obvious. can only be treated in the hospital, chronic complications of retinopathy, nephropathy, lower limb disease, will have symptoms, can not see things clearly, there is a lot of foam in the urine. Leg numbness, pain, in the early performance is very obvious, according to the course of treatment will improve.

And many people are tolerant of blood pressure, as high as 200/120mmHg, without any discomfort, and this blood pressure is almost as high as that of a giraffe, because the blood pressure is low, and the blood flow simply cannot transport his brain, and we humans, without a height of 3-5 meters, why do we have such high blood pressure, because vascular resistance is high.

Long-term hypertension causes some of our organs to be overloaded, especially heart disease. The resistance of the body makes us increase our blood pressure to supply blood. To reach this blood pressure, the heart needs to pump more blood to satisfy it. Over time, the heart begins to deform, leading to heart failure. This is the biggest complication caused by high blood pressure, and once this happens, the prognosis is very poor, because the deformed heart can not return to normal.

How to prevent and treat hypertension.

The treatment of high blood pressure usually starts with lifestyle changes, including reducing salt in the diet, losing weight if necessary, quitting smoking, reducing alcohol consumption and regular exercise. In addition to lifestyle changes, drugs are usually used to lower blood pressure. There are many types of drugs for high blood pressure, and each drug has benefits and risks. You need to choose the starting drug according to your personal situation. Most people take more than one drug to lower their blood pressure to the treatment goal. At present, long-acting antihypertensive drugs are widely used, and they will begin to work within a few days and gradually reach stability.

However, because high blood pressure is a long-standing disease, usually with few or no symptoms, remembering medication can be a challenge. Combination drugs, long-acting drugs or once-daily drugs can be used to reduce the burden of taking multiple drugs and help ensure regular medication. Once started, the drug should be used all the time, and it is not recommended to stop using it without authorization or change the drug frequently.

There are a lot of contents about hypertension, and that's all for today. In the future, Mr. Liang's sugar will broaden his knowledge and will no longer be limited to diabetes. I still hope that everyone will, as always, support teacher Liang, pay attention to diabetes and health, and reduce blood sugar on the way. We work together.