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Features

Reexamining Misconceptions About β-Blockers in Patients With Diabetes

  1. Janet B. McGill, MD
    Clinical Diabetes 2009 Dec; 27(1): 36-46. https://doi.org/10.2337/diaclin.27.1.36
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    IN BRIEF Because effectively managing patients with diabetes and hypertension requires multiple medications, the appropriate selection of a treatment regimen with good tolerability and simplified dosing is crucial. Despite the proven benefits of β-blockers in lowering blood pressure and improving cardiovascular morbidity, many physicians are reluctant to prescribe them to patients with diabetes and hypertension. This reluctance is based on the misconception that β-blockers worsen glycemic control, insulin sensitivity, and dyslipidemia and mask hypoglycemia. Unlike traditional β-blockers, vasodilatory β-blockers have favorable tolerability and metabolic profiles while offering effective blood pressure control.

    Footnotes

    • Janet B. McGill, MD, is an associate professor of medicine at the Washington University School of Medicine and co-director of the Prevention and Control Core of the Diabetes Research and Training Center at Washington University in St. Louis, Mo.

    • Note of disclosure: Dr. McGill's institution has received research funding and Dr. McGill has received honoraria from GlaxoSmithKline, which manufactures β-blockers for the treatment of hypertension.

    • American Diabetes Association(R) Inc., 2009
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    December 2009, 27(1)
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    Reexamining Misconceptions About β-Blockers in Patients With Diabetes
    Janet B. McGill
    Clinical Diabetes Dec 2009, 27 (1) 36-46; DOI: 10.2337/diaclin.27.1.36

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    Reexamining Misconceptions About β-Blockers in Patients With Diabetes
    Janet B. McGill
    Clinical Diabetes Dec 2009, 27 (1) 36-46; DOI: 10.2337/diaclin.27.1.36
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    • Article
      • Treatment of Hypertension in People With Diabetes
      • Benefits of β-Blockers
      • Perceived Negative Metabolic Effects of β-Blockers
      • Common Misconceptions About Glycemic Control and Lipids
      • Common Misconceptions About Microalbuminuria
      • Common Misconceptions About Hypoglycemia
      • Common Misconceptions About Weight Gain
      • Adherence to Guideline-Recommended Medical Care
      • Role of β-Blockers in the Therapeutic Management of Patients With Comorbid Diabetes
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    © 2021 by the American Diabetes Association. Clinical Diabetes Print ISSN: 0891-8929, Online ISSN: 1945-4953.