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Editorial
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Volume 342:969-970 March 30, 2000 Number 13
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Antihypertensive Therapy and the Risk of Type 2 Diabetes Mellitus

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 by Gress, T. W.
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Although thiazide diuretics and beta-blockers are often used as first-line therapy in patients with hypertension, including those with diabetes mellitus,1 the possibility that these drugs may promote glucose intolerance remains a concern.2,3,4,5,6,7,8,9,10 Short-term metabolic studies, as well as epidemiologic studies and clinical trials, suggested a causal link between the use of thiazide diuretics and the subsequent development of type 2 diabetes.3,4,5,6,7,8,9,10 However, those studies were compromised by small numbers of patients, relatively short follow-up periods, changing definitions of new-onset diabetes, lack of adequate comparison groups, selection criteria that lessened the extent to which the results could be generalized, and study . . . [Full Text of this Article]

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