| Summary: | Objective To observe the change of insulin resistance in the impaired fasting glucose patients with hypertension along with time elapse, and to investigate the relationship between hypertension and insulin resistance. Methods A total of 180 patients with impaired fasting glucose admitted in our outpatient department of endocrinology and physical examination center of our hospital during October 2012 and August 2013 were recruited in this study. All of them were given long-term lifestyle intervention, and were followed up for 5 years. Till the end of the follow-up, there were 114 patients included, and they were divided into the hypertension group (n=56) and the normal blood pressure group (n=58). Routine antihypertensive drugs were given to the hypertension group. Clinical data, such as fasting blood glucose, 2 h postprandial blood glucose, fasting insulin, 2 h postprandial insulin, and insulin resistance index (HOMA-IR) and insulin sensitivity index (ISI) from the third to the fifth year of follow-up were collected and analyzed. Results In the 5 years' follow-up, the prevalence of diabetes in the hypertension group was 22.83%, significantly higher than that of the normal blood pressure group (11.36%, P=0.042). The hypertension group had obviously higher HOMA-IR but statistically lower ISI when compared with the normal blood pressure group (both P < 0.001). Conclusion In the patients with impaired fasting glucose, elevated blood pressure is closely associated with insulin resistance. As time goes by, those impaired fasting glucose accompanied with hypertension are more prone to severe insulin resistance, and are more likely to progress to diabetes.
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