Hypertension Clinical Trial
Official title:
Nighttime Dosing of Antihypertensive Drugs in Type 2 Diabetes
The purpose of this study is to investigate if it is possible to lower the nighttime blood pressure in patients with type 2 diabetes mellitus by shifting the administration of antihypertensive drugs from morning to nighttime.
In recent years several studies have shown that high nighttime blood pressure is associated
with increased cardiovascular risk independently of the average 24 hour blood pressure. As a
consequence there has been increasing focus on nighttime blood pressure and how to lower it.
One way of addressing the problem is to shift the administration of antihypertensive drugs
from morning to nighttime. Studies on non-diabetic patients show that by doing this the
nighttime blood pressure can be lowered with 3-5 mm Hg without negative effect on the 24
hour blood pressure.
Only recently a study was made on diabetic patients. This showed similar results as for
non-diabetic patients.However this study was based on diabetic patients who did not receive
any antihypertensive drugs before.
This study will investigate the effects on nighttime blood pressure when shifting
administration of antihypertensive drugs from morning to nighttime. The population is
diabetic patients who are already in antihypertensive treatment.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
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