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Diabetes Patients That Bring Glucose Meters to Doctor Visits Have Better Control Over Their Disease
Date:6/19/2013

the U.S. diagnosed with hypertension, Dr. Levine and her research team at Mount Sinai presented data showing that primary aldosteronism (PA) is under diagnosed and undertreated in patients. PA is a disorder where the adrenal glands make too much of the hormone aldosterone, which was once thought of as a very rare cause of high blood pressure in patients with hypertension, with or without low blood potassium levels.

The data from this study shows that 4.7 percent of patients tested in the study had blood aldosterone and renin levels indicating they may have PA. Those patients are currently undergoing further testing for the diagnosis. “It is important to ascertain whether PA is a common cause of high blood pressure in our urban population since many of the drugs we currently employ would not be effective if this is the underlying cause,” said Dr. Levine. “Medical and surgical therapies are now available that could properly target this disease.”

According to Dr. Levine, physicians do not generally screen hypertensive patients for this disorder unless they have very severe high blood pressure and also have low blood potassium levels.

“Testing for PA involves a very simple blood screening test which can be done in almost all hypertensive patients without even discontinuing their drugs,” said Dr. Levine. “As a result of our research, many more screening tests have been done by physicians at Mount Sinai, and previously unsuspected cases have been confirmed and patients have been properly treated.”

For the study, the first of a large urban population in the United States, researchers screened 260 individuals for PA who had previously been diagnosed with hypertension. Researchers measured the levels of aldosterone and renin through two separate blood tests. The study was conducted with patients in New York City from August 2012 until May 2013.

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