ABPM is the best method of detecting WCH in diabetic patients. We report ABPM findings in 100 diabetic individuals with WCH during 2 years. All of the referred subjects underwent casual and ambulatory blood pressure measurements. The mean age of participants was 41.43 year (±13.3 SD) and the age range from 19–74 years; majority were male (80%). The proportion of ambulatory-confirmed average 24-hours true hypertension was significantly reduced when the duration of the study was increased to 48 hours (P<0.001). Day-time systole (P=0.036) as well as night-time systole (P=0.001) and diastole (P<0.001) were statistically different during the two period of monitoring. Dipping pattern had increased from 53% to 60% (P=0.02) but non-dipper pattern was a common finding. Blood pressure load had been normalized in 19% of patients when the duration of study increases to 48 hours (P<0.001). WCH was common in T2DM and the best diagnostic tool was 48-hours ABPM. The dominant rhythm was dipper and absence of nocturnal drop was also common. Blood pressure load might be accurately determined with 48-hours ABPM.
Usefulness of ambulatory blood pressure monitoring in predicting the presence of autonomic neuropathy in type I diabetic patients
