Recommendations for management of hypertension in patients with diabetes, based on the recommendations from the American Diabetes Association (ADA) Standards of Medical Care. Patients with DM and hypertension should be treated to systolic and diastolic BP goals of 140 mmHg and <90 mmhg, respectively.
Which of the following is a reasonable goal blood pressure for patients with hypertension and type 2 diabetes with low risk?
Treatment of hypertension to blood pressure <140/90 mmHg is supported by unequivocal evidence that pharmacologic treatment of blood pressure ≥140/90 mmHg reduces cardiovascular events as well as some microvascular complications.
What is the main goal in treating diabetic patients?
The general goals of the treatment of diabetes are to avoid acute decompensation, prevent or delay the appearance of late disease complications, decrease mortality, and maintain a good quality of life.
How do you treat diabetes and hypertension?
ACE inhibitors and ARBs are preferred agents in the management of patients with hypertension and diabetes. If target blood pressure is not achieved with an ACE inhibitor or ARB, addition of a thiazide diuretic is the preferred second-line therapy for most patients with diabetes.
What is the goal blood pressure for diabetes?
Most guidelines for treatment of hypertension recommend a blood pressure (BP) goal of <140/90 mm Hg, and a more aggressive goal of <130/80 mm Hg for patients with diabetes mellitus.
What is the relationship between hypertension and diabetes?
Having hypertension appears to increase the risk of type 2 diabetes, and having type 2 diabetes increases the risk of hypertension. Also, having one or both conditions increase the risk of various complications, including: heart attack or stroke. decreased kidney function, progressing to dialysis.
What is the relationship between blood sugar and blood pressure?
“Over time, diabetes damages the small blood vessels in your body, causing the walls of the blood vessels to stiffen. This increases pressure, which leads to high blood pressure.” The combination of high blood pressure and type 2 diabetes can greatly increase your risk of having a heart attack or stroke.
What are the goals of treatment for Type 2 diabetes in this patient?
What are the main goals of treatment for type 2 diabetes mellitus (DM)?
- Microvascular (ie, eye and kidney disease) risk reduction through control of glycemia and blood pressure.
- Macrovascular (ie, coronary, cerebrovascular, peripheral vascular) risk reduction through control of lipids and hypertension, smoking cessation.
What is the number for type 2 diabetes?
Less than 100 mg/dL (5.6 mmol/L) is normal. 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is diagnosed as prediabetes. 126 mg/dL (7 mmol/L) or higher on two separate tests is diagnosed as diabetes.
What is the best treatment for diabetes?
Metformin is generally the preferred initial medication for treating type 2 diabetes, unless there’s a specific reason not to use it. Metformin is effective, safe, and inexpensive. It may reduce the risk of cardiovascular events. Metformin also has beneficial effects when it comes to reducing A1C results.
Is hypertension worse than diabetes?
High blood pressure is twice as likely to strike a person with diabetes than a person without diabetes. Left untreated, high blood pressure can lead to heart disease and stroke.
What should a diabetic with high blood pressure eat?
DASH diet: What to eat. Both versions of the DASH diet include lots of whole grains, fruits, vegetables and low-fat dairy products. The DASH diet also includes some fish, poultry and legumes, and encourages a small amount of nuts and seeds a few times a week. You can eat red meat, sweets and fats in small amounts.
What is the best diuretic for diabetics?
In the individuals with diabetes mellitus (13,101 patients) included in the ALLHAT, the diuretic chlorthalidone was shown to be as effective as CCBs and ACEis in reducing cardiovascular morbidity and mortality.
How do you lower high blood pressure quickly?
Here are 17 effective ways to lower your blood pressure levels:
- Increase activity and exercise more. …
- Lose weight if you’re overweight. …
- Cut back on sugar and refined carbohydrates. …
- Eat more potassium and less sodium. …
- Eat less processed food. …
- Stop smoking. …
- Reduce excess stress. …
- Try meditation or yoga.
What is the A1C goal for diabetics in primary prevention of stroke?
The ADA recommends an A1C target of <7.0% in general but suggests targeting an A1C as close to normal (<6%) as possible without causing significant hypoglycemia in individual patients (8).
What is the most important independent cardiac risk factor for stroke?
Hypertension. Hypertension is the single most important modifiable risk factor for ischemic stroke.