Abstract

Introduction: Hypertension is a fairly common  disease  in  the   world   as   well  as in Vietnam, the mortality rate due to cardiovascular diseases in which hypertension is quite high. Insulin resistance is related to and increases hypertension, early detection of insulin resistance in hypertensive subjects is very necessary since it can slow down the formation and progression of many diseases. Objectives: To evaluate insulin resistance in hypertensive male patients and determine the association with some risk factors. Subjects - Methods: 83 hypertensive male patients without diabetes, mean age 61.6 ± 8.54. A cross-sectional study was performed to assess insulin resistance and identify associations with several risk factors. Insulin resistance was assessed by HOMA-IR index, QUICKI, TyG index. Results: The rate of insulin resistance according to HOMA-IR index  was 41.0%; QUICKI index is 39.8% and TyG index is 59.0%. There is a relationship between male obesity, overweight and obesity, blood glucose, dyslipidemia and insulin resistance according to HOMA-IR, QUICKI and TyG index (p < 0.01); There is a positive correlation between HOMA-IR, TyG index with waist circumference, BMI, triglyceride and negative correlation between QUICKI with blood glucose, cholesterol, triglyceride (p < 0.05). Conclusions: Non- diabetic hypertensive male patients have insulin resistance at a remarkable rate. When male hypertensive patients have risk factors such as obesity, abdominal obesity, impaired fasting blood sugar, dyslipidemia, they should be screened and evaluated for insulin resistance to take preventive measures.