24-hour ambulatory blood pressure monitors (ABPMs) are recommended for screening at risk children, however this test is not often used in youth with type 2 diabetes in clinical practice. In this study of 281 youth living with type 2 diabetes across Canada, nearly 20% were found to have hypertension during the day and night, and another 30% had hypertension only at night. This is important, because results from the ABPM were more closely linked with albuminuria, the earliest sign of kidney injury in persons with diabetes than a single blood pressure measurement. Physicians should consider implementing screening with 24-hour ABPMs into routine care of youth living with type 2 diabetes.
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