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hydrochlorothiazide and Diabetic Angiopathies

hydrochlorothiazide has been researched along with Diabetic Angiopathies in 15 studies

Hydrochlorothiazide: A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.
hydrochlorothiazide : A benzothiadiazine that is 3,4-dihydro-2H-1,2,4-benzothiadiazine 1,1-dioxide substituted by a chloro group at position 6 and a sulfonamide at 7. It is diuretic used for the treatment of hypertension and congestive heart failure.

Diabetic Angiopathies: VASCULAR DISEASES that are associated with DIABETES MELLITUS.

Research Excerpts

ExcerptRelevanceReference
"The safety and efficacy of an amlodipine/olmesartan medoxomil (OM)-based titration regimen was assessed in patients with type 2 diabetes mellitus and hypertension."9.15Management of hypertension in patients with diabetes using an amlodipine-, olmesartan medoxomil-, and hydrochlorothiazide-based titration regimen. ( Littlejohn, T; Neutel, JM; Qian, C; Ram, CV; Sachson, R; Shojaee, A; Stoakes, KA, 2011)
"A total of 422 patients with type 2 diabetes who were hypertensive [sitting systolic blood pressure (SBP) > or = 140 mmHg and/or diastolic blood pressure (DBP) > or = 90 mmHg] and microalbuminuric [urinary albumin excretion (UAE) 30-300 mg/day] were eligible for the study."6.70Losartan reduces microalbuminuria in hypertensive microalbuminuric type 2 diabetics. ( Aznar, J; Llisterri, JL; Lozano, JV; Redon, J, 2001)
" In multivariable Cox analyses, adjusting for randomized treatment, age, sex, race, prior anti-hypertensive therapy, baseline uric acid, serum creatinine and glucose entered as standard covariates, and in-treatment non-HDL cholesterol, Cornell product left ventricular hypertrophy, diastolic and systolic pressure, BMI, hydrochlorothiazide and statin use as time-varying covariates, the lowest quartile of in-treatment HDL remained associated with a nearly 9-fold increased risk of new diabetes (hazard ratio 8."5.17In-treatment HDL cholesterol levels and development of new diabetes mellitus in hypertensive patients: the LIFE Study. ( Dahlöf, B; Devereux, RB; Hille, DA; Kjeldsen, SE; Lindholm, LH; Okin, PM; Wiik, BP, 2013)
"The safety and efficacy of an amlodipine/olmesartan medoxomil (OM)-based titration regimen was assessed in patients with type 2 diabetes mellitus and hypertension."5.15Management of hypertension in patients with diabetes using an amlodipine-, olmesartan medoxomil-, and hydrochlorothiazide-based titration regimen. ( Littlejohn, T; Neutel, JM; Qian, C; Ram, CV; Sachson, R; Shojaee, A; Stoakes, KA, 2011)
"We conducted a prospective, randomized, open-label, blinded endpoint crossover study comparing the metabolic responses to the addition of either hydrochlorothiazide (HCTZ) or indapamide, in 18 diabetic hypertensive patients receiving ACE inhibitor monotherapy for hypertension."5.10Comparative metabolic effects of hydrochlorothiazide and indapamide in hypertensive diabetic patients receiving ACE inhibitor therapy. ( Gilbert, RE; Krum, H; Skiba, M, 2003)
"5 mg of hydrochlorothiazide, in 90 type 2 diabetic patients with microalbuminuria and blood pressure > 130/85 mmHg, receiving losartan 50 mg as initial treatment during 4 weeks."5.10Losartan titration versus diuretic combination in type 2 diabetic patients. ( de Pablos-Velasco, PL; Esmatjes, JE; Fernandez-Vega, F; Lopez de la Torre, ML; Pazos Toral, F; Pozuelo, A; Ruilope, LM, 2002)
"The effects of long-term treatment with captopril and conventional therapy on albuminuria and metabolic parameters were compared in 74 hypertensive type II diabetics with normal serum creatinine."5.07Captopril or conventional therapy in hypertensive type II diabetics. Three-year analysis. ( Lacourcière, Y; Nadeau, A; Poirier, L; Tancrède, G, 1993)
" The aim of this study was to compare the effects of an equivalent reduction in blood pressure produced by the angiotensin-converting enzyme (ACE) inhibitor spirapril (SPI) and an antihypertensive triple drug combination of hydralazine, reserpine and hydrochlorothiazide (HRH) on kidney function, proteinuria and renal structure in hypertensive diabetic rats."3.70Control of glomerular hyperfiltration and renal hypertrophy by an angiotensin converting enzyme inhibitor prevents the progression of renal damage in hypertensive diabetic rats. ( Armini, L; Bardelli, M; Calci, M; Campanacci, L; Candido, R; Carretta, R; Fabris, B; Fazio, M; Fischetti, F, 1999)
"Treatment with spironolactone improved coronary microvascular function, raising the possibility that MR blockade could have beneficial effects in preventing cardiovascular disease in patients with T2DM."2.80Mineralocorticoid receptor blockade improves coronary microvascular function in individuals with type 2 diabetes. ( Adler, GK; Baimas-George, M; Di Carli, MF; Foster, C; Garg, R; Hurwitz, S; Jerosch-Herold, M; Kwong, RY; Rao, AD; Shah, RV, 2015)
" After a 4-week wash-out period, 209 patients were randomized to either CC 8 mg or AML 5 mg once daily for a minimum of 1 month, after which, if BP was not normalized, the dosage was doubled, followed by the addition of hydrochlorothiazide 12."2.74Effects of candesartan cilexetil on carotid remodeling in hypertensive diabetic patients: the MITEC study. ( Asmar, R; Baguet, JP; Mallion, JM; Nisse-Durgeat, S; Valensi, P, 2009)
"A total of 422 patients with type 2 diabetes who were hypertensive [sitting systolic blood pressure (SBP) > or = 140 mmHg and/or diastolic blood pressure (DBP) > or = 90 mmHg] and microalbuminuric [urinary albumin excretion (UAE) 30-300 mg/day] were eligible for the study."2.70Losartan reduces microalbuminuria in hypertensive microalbuminuric type 2 diabetics. ( Aznar, J; Llisterri, JL; Lozano, JV; Redon, J, 2001)
"Care must be taken in treating hypertension in diabetic patients because the choice of antihypertensive agent may worsen the diabetic state or its complications or cause additional health problems for the patient."1.27Treatment of hypertension in diabetic men: problems with sexual dysfunction. ( Lipson, LG, 1984)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19903 (20.00)18.7374
1990's4 (26.67)18.2507
2000's5 (33.33)29.6817
2010's3 (20.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Okin, PM1
Hille, DA1
Wiik, BP1
Kjeldsen, SE1
Lindholm, LH1
Dahlöf, B1
Devereux, RB1
Garg, R1
Rao, AD1
Baimas-George, M1
Hurwitz, S1
Foster, C1
Shah, RV1
Jerosch-Herold, M1
Kwong, RY1
Di Carli, MF1
Adler, GK1
Baguet, JP1
Asmar, R1
Valensi, P1
Nisse-Durgeat, S1
Mallion, JM1
Ram, CV1
Sachson, R1
Littlejohn, T1
Qian, C1
Shojaee, A1
Stoakes, KA1
Neutel, JM1
Krum, H1
Skiba, M1
Gilbert, RE1
SANCHETTI, P1
FAVERO, S1
Karalliedde, J1
Smith, A1
DeAngelis, L1
Mirenda, V1
Kandra, A1
Botha, J1
Ferber, P1
Viberti, G1
Lipson, LG1
Lacourcière, Y1
Nadeau, A1
Poirier, L1
Tancrède, G1
Byington, RP1
Furberg, CD1
Craven, TE1
Pahor, M1
Sowers, JR1
McFarlane, R1
McCredie, RJ1
Bonney, MA1
Molyneaux, L1
Zilkens, R1
Celermajer, DS1
Yue, DK1
Fabris, B1
Candido, R1
Armini, L1
Fischetti, F1
Calci, M1
Bardelli, M1
Fazio, M1
Campanacci, L1
Carretta, R1
Lozano, JV1
Llisterri, JL1
Aznar, J1
Redon, J1
de Pablos-Velasco, PL1
Pazos Toral, F1
Esmatjes, JE1
Fernandez-Vega, F1
Lopez de la Torre, ML1
Pozuelo, A1
Ruilope, LM1
Siperstein, MD1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Role of Mineralocorticoid Receptor in Diabetic Cardiovascular Disease[NCT00865124]69 participants (Actual)Interventional2008-09-30Completed
Mineralocorticoid Receptor, Coronary Microvascular Function, and Cardiac Efficiency in Hypertension[NCT05593055]Phase 475 participants (Anticipated)Interventional2023-08-25Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Coronary Flow Reserve From Baseline to 6 Months

Coronary flow reserve (CFR), or myocardial perfusion reserve, was assessed via cardiac positron emission tomography (PET). CFR is the ratio of adenosine-stimulated blood flow through myocardium to resting blood flow through myocardium. An improvement in coronary flow reserve is beneficial. (NCT00865124)
Timeframe: Baseline and six months

Interventionratio (Mean)
Spironolactone (MR Blockade)0.33
Hydrochlorothiazide + Potassium-0.10
Placebo0.02

Change in Mitral Annulus Velocities on Tissue Doppler (Delta E/e' Ratio), a Measure of Diastolic Function

Diastolic function was assessed via tissue doppler imaging (TDI) by echocardiography to determine left ventricular diastolic function before and after 6 months of treatment. (NCT00865124)
Timeframe: Baseline and six months

Interventionratio (Mean)
Spironolactone (MR Blockade)0.02
Hydrochlorothiazide + Potassium0.06
Placebo0.64

Change in Renal Plasma Flow

Renal vasculature was assessed by examining renal plasma flow, or para-aminohippurate (PAH) clearance, basally and in response to acute administration (3 nanograms/kg/min for 60 min) of the vasoactive agent, Angiotensin II. (NCT00865124)
Timeframe: Baseline and six months

,,
InterventionmL/min/1.73m^2 (Mean)
Pre-treatment, PAH clearance, baselinePre-treatment, PAH clearance, Post-ANGII6 months post-treatment, PAH clearance, baseline6 months post-treatment, PAH clearance, Post-ANGII
Hydrochlorothiazide + Potassium508417500415
Placebo518436491427
Spironolactone (MR Blockade)527442518423

Mitral Annulus Velocities on Tissue Doppler (Delta E/e' Ratio), a Measure of Diastolic Function (With Angiotensin II)

Diastolic function was assessed via tissue doppler imaging (TDI) by echocardiography to determine left ventricular diastolic function before and after 6 months of treatment; and in response to acute administration (3 nanograms/kg/min for 60 min) of the vasoactive agent, Angiotensin II. (NCT00865124)
Timeframe: Baseline and six months

,,
Interventionratio (Mean)
Pre-treatment, E/e', baselinePre-treatment, E/e', Post-ANGII6 months post-treatment, E/e', baseline6 months post-treatment, E/e', Post-ANGII
Hydrochlorothiazide + Potassium6.727.067.035.83
Placebo6.556.707.357.48
Spironolactone (MR Blockade)6.677.096.766.28

Trials

11 trials available for hydrochlorothiazide and Diabetic Angiopathies

ArticleYear
In-treatment HDL cholesterol levels and development of new diabetes mellitus in hypertensive patients: the LIFE Study.
    Diabetic medicine : a journal of the British Diabetic Association, 2013, Volume: 30, Issue:10

    Topics: Aged; Antihypertensive Agents; Atenolol; Cholesterol, HDL; Comorbidity; Diabetes Mellitus, Type 2; D

2013
Mineralocorticoid receptor blockade improves coronary microvascular function in individuals with type 2 diabetes.
    Diabetes, 2015, Volume: 64, Issue:1

    Topics: Adult; Aged; Angiotensin-Converting Enzyme Inhibitors; Coronary Circulation; Diabetes Mellitus, Type

2015
Mineralocorticoid receptor blockade improves coronary microvascular function in individuals with type 2 diabetes.
    Diabetes, 2015, Volume: 64, Issue:1

    Topics: Adult; Aged; Angiotensin-Converting Enzyme Inhibitors; Coronary Circulation; Diabetes Mellitus, Type

2015
Mineralocorticoid receptor blockade improves coronary microvascular function in individuals with type 2 diabetes.
    Diabetes, 2015, Volume: 64, Issue:1

    Topics: Adult; Aged; Angiotensin-Converting Enzyme Inhibitors; Coronary Circulation; Diabetes Mellitus, Type

2015
Mineralocorticoid receptor blockade improves coronary microvascular function in individuals with type 2 diabetes.
    Diabetes, 2015, Volume: 64, Issue:1

    Topics: Adult; Aged; Angiotensin-Converting Enzyme Inhibitors; Coronary Circulation; Diabetes Mellitus, Type

2015
Effects of candesartan cilexetil on carotid remodeling in hypertensive diabetic patients: the MITEC study.
    Vascular health and risk management, 2009, Volume: 5, Issue:1

    Topics: Aged; Amlodipine; Angiotensin II Type 1 Receptor Blockers; Antihypertensive Agents; Benzimidazoles;

2009
Management of hypertension in patients with diabetes using an amlodipine-, olmesartan medoxomil-, and hydrochlorothiazide-based titration regimen.
    The American journal of cardiology, 2011, May-01, Volume: 107, Issue:9

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amlodipine; Antihypertensive Agents; Diabetes Mellitus,

2011
Comparative metabolic effects of hydrochlorothiazide and indapamide in hypertensive diabetic patients receiving ACE inhibitor therapy.
    Diabetic medicine : a journal of the British Diabetic Association, 2003, Volume: 20, Issue:9

    Topics: Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; Blood Pressure; Cross-Over Studie

2003
Valsartan improves arterial stiffness in type 2 diabetes independently of blood pressure lowering.
    Hypertension (Dallas, Tex. : 1979), 2008, Volume: 51, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Albuminuria; Amlodipine; Angiotensin II Type 1 Receptor Blockers; An

2008
Captopril or conventional therapy in hypertensive type II diabetics. Three-year analysis.
    Hypertension (Dallas, Tex. : 1979), 1993, Volume: 21, Issue:6 Pt 1

    Topics: Aged; Albuminuria; Blood Pressure; Captopril; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Doub

1993
Isradipine in prediabetic hypertensive subjects.
    Diabetes care, 1998, Volume: 21, Issue:12

    Topics: Antihypertensive Agents; Blood Glucose; Blood Pressure; Calcium Channel Blockers; Cardiovascular Dis

1998
Angiotensin converting enzyme inhibition and arterial endothelial function in adults with Type 1 diabetes mellitus.
    Diabetic medicine : a journal of the British Diabetic Association, 1999, Volume: 16, Issue:1

    Topics: Adult; Angiotensin-Converting Enzyme Inhibitors; Cross-Over Studies; Diabetes Mellitus, Type 1; Diab

1999
Losartan reduces microalbuminuria in hypertensive microalbuminuric type 2 diabetics.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2001, Volume: 16 Suppl 1

    Topics: Albuminuria; Antihypertensive Agents; Blood Glucose; Blood Pressure; Body Weight; Diabetes Mellitus,

2001
Losartan titration versus diuretic combination in type 2 diabetic patients.
    Journal of hypertension, 2002, Volume: 20, Issue:4

    Topics: Aged; Albuminuria; Antihypertensive Agents; Blood Pressure; Cardiovascular Diseases; Diabetes Mellit

2002

Other Studies

4 other studies available for hydrochlorothiazide and Diabetic Angiopathies

ArticleYear
[CLINICAL STUDY OF A NEW COMPLEX HYPOTENSIVE DRUG COMBINATION].
    Gazzetta medica italiana, 1963, Volume: 122

    Topics: Antihypertensive Agents; Arteriosclerosis; Carbamates; Cerebrovascular Disorders; Coronary Disease;

1963
Treatment of hypertension in diabetic men: problems with sexual dysfunction.
    The American journal of cardiology, 1984, Jan-27, Volume: 53, Issue:3

    Topics: Antihypertensive Agents; Blood Pressure; Diabetic Angiopathies; Erectile Dysfunction; Humans; Hydroc

1984
Control of glomerular hyperfiltration and renal hypertrophy by an angiotensin converting enzyme inhibitor prevents the progression of renal damage in hypertensive diabetic rats.
    Journal of hypertension, 1999, Volume: 17, Issue:12 Pt 2

    Topics: Angiotensin-Converting Enzyme Inhibitors; Animals; Antihypertensive Agents; Blood Pressure; Diabetic

1999
Type II diabetes: some problems in diagnosis and treatment.
    Hospital practice (Office ed.), 1985, Mar-15, Volume: 20, Issue:3

    Topics: Blood Glucose; Chlorpropamide; Confusion; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Humans;

1985