Although an increased risk for hypoglycemia in patients with diabetes mellitus on β-blockers was hard to demonstrate, 19 – 24 it has been well known that the use of β-blockers can be a risk factor for severe hypoglycemia and hypoglycemia unawareness presumably because of the diminished or absent early warning signs. Professor of Medicine and Director of Clinical Research, Division of Endocrinology and Metabolism, the University of Alabama at Birmingham School of Medicine, Birmingham, Alabama.Address correspondence and reprint requests to: David S. H. Bell, M.B., F.A.C.E., 1808 7th Avenue South, Room 802 Birmingham, AL 35294. Beta blockers are even more powerful in reducing cardiac events in the patient with diabetes, than they are in others.

Background: Although beta blockers could increase the risk of hypoglycemia, the difference between subtypes on hypoglycemia and mortality have not been studied.

However, a large body of data indicates that BBs should not be used as first-line therapy for hypertension (HTN).

Please try after some time.Get new journal Tables of Contents sent right to your email inbox Your Email: Beta-blockers or calcium channel blockers are recommended as the first-line anti-anginal medicines. The Endocrinologist13(2):116-123, March/April 2003. may email you for journal alerts and information, but is committed This study sought to determine the relationship between type of beta blocker and incidence of hypoglycemia and mortality in hospitalized patients. It's important to check your blood sugar regularly if you have diabetes and you're taking a beta blocker.

For immediate assistance, contact Customer Service: * Summarize the risks of beta-blockade in diabetic patients and how they may be minimized. This website uses cookies.


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This article has been saved into your User Account, in the Favorites area, under the new folder Please try after some time.Your message has been successfully sent to your colleague.Some error has occurred while processing your request. Therefore, the traditional and long-standing reluctance of endocrinologists to utilize beta blockade in the diabetic patient is unfounded and outdated due to the availability of later-generation beta blockers. * Relate the indications for, and the timing of beta-blocker treatment in type 2 diabetics with regard to coronary artery disease and heart failure. Message: 7 There is no evidence that one beta-blocker is superior to another or that beta-blockers are superior to calcium channel blockers. 301-223-2300 Heart.







Patients with diabetes, especially hypoglycemia, or low blood sugar, should monitor their blood sugar regularly, as beta-blockers can obstruct signs of low blood sugar, such as rapid heart beat.

2018 Sep 1;20(FI2):f217-f224. Free PMC article Please enable it to take advantage of the complete set of features! 2006;6(4):209-17. doi: 10.2165/00129784-200606040-00001.DiNicolantonio JJ, Lavie CJ, Fares H, Menezes AR, O'Keefe JH.Am J Cardiol. 13 Despite this, the likelihood of being prescribed a beta-blocker is halved in patients older than 70 years.