Anti hypertensive medications and blood sugar: Theories and implications

Increased rates (if diabetes have been reported with thiazide diuretics and beta-blockers, but not with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers or calcium channel blockers. These observations are important because significant glycemic effects of drugsmay be a source of accelerated cardiovascular risk that is not detectable during restricted clinical trial follow-up periods. The extent to Which diabetes is affected by these medications remains unclear, as is the precise mechanism by which diabetes is promoted. However, several plausible theories are presented herein. Although drug-induced diabetes has been a concern for several years, not enough is information is available to influence prescribing for the majority of patients. The number one priority should be controlling blood pressure in a timely manner.