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JAMA. 1967;202(4):358-359. doi:10.1001/jama.1967.03130170158031.
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Small-vessel changes associated with diabetes, as well as arterial atheroma to which the diabetic patient is prone, have been long recognized as important causes of mortality and morbidity. Until recently, however, the increased frequency of hypertensive vascular disease in diabetics has not received much attention. Even now some authorities doubt this predisposition, and only the newer textbooks give it more than casual comment. Scattered reports, however, appeared in the literature as early as 1932 after John1 suggested this possibility on the basis of increased prevalence of high systolic blood pressure found in a studied series of diabetic patients. The proneness of diabetics to hypertension was noted by Martenson,2 who observed elevated blood pressure (150/90 mm Mg or higher) in 48% of 111 men and 65% of 110 women in whom diabetes was present for a minimum of 10 years. A number of investigators subsequently recorded similar findings. Reporting


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