Blood pressure variability in individuals with diabetes mellitus: a scoping review

Abstract

Objectives: to map methods and devices used to assess very short-, short-, medium-, and long-term pressure variability in adults with type 1 or 2 diabetes mellitus. Methods: scoping review conducted in January and February 2021 in MEDLINE, Web of Science, CINAHL, LILACS, PubMed, and Embase databases. Studies conducted within the last ten years analyzing pressure variability in adult and older patients with diabetes mellitus type 1 or 2 were included. Studies that used discontinued devices were excluded. Results: the sample was composed of 25 articles published since 2017, with the majority developed in Japan (n=11); with the predominance of the oscillometric method (n=22); the most used devices were from the Omron® brand (n=14); the most detected type was long-term variability (n=10). Conclusions: we observed the increasing application of the oscillometric method for pressure variability analysis with various brands and models of automatic devices.

Blood Pressure Variability is Better Associated with Acute Relative Hyperglycemia Than the Heart Rate Variability in Healthy Young Adults

“…A study by Young et al [25] reported augmented BPV in young black men as compared to the young white men and found it to be associated with reduced sympathetic BRS rather than the cardiac BRS. Impaired blood pressure homeostasis has been reported in diabetes and altered BPV has been shown to be a predictor of cardiovascular complications [21,30,31].…”

“…To the best of our knowledge and search we hardly find any study where the effect of acute hyperglycemia on beat-to-beat variability has been studied. In a scoping review by Silva et al [21], the results of 25 studies have been presented, which have studied BPV in the patients with diabetes mellitus. They have observed that short-term, medium-term and long-term BPV are increased in diabetes mellitus.…”