During meeting with my colleagues I came across, the use of beta-blockers in elderly diabetic patients was not recommended, "Because they reduce the diabetic metabolism and especially in elder Patients are prognostically less favourable". From the pentagram of Hypertension remain for the treatment of such patients three groups of substances left: ACE inhibitors or AT1 antagonists, diuretics and calcium channel blockers. As a dual combination of the first election, the combination of ACE inhibitor / AT1 antagonist was seen plus diuretic for a diabetic. Certainly I know that beta-blockers may cause hypoglycaemia in insulin-treated diabetics.
But diuretics make a reduced glucose tolerance. I personally have not so Problem and sit beta-blockers in patients with diabetes also a - knowing full well that BZ controls must be more frequent. Especially beta blockers are indispensable nowadays in…
