Blood Pressure Control and Cardiovascular/Renal Outcomes.

Endocrinol Metab Clin North Am

Section of Endocrinology, Diabetes, and Metabolism, Department of Medicine, ASH Comprehensive Hypertension Center, University of Chicago Medicine, 5841 South Maryland Avenue, MC 1027, Chicago, IL 60637, USA. Electronic address:

Published: March 2018

AI Article Synopsis

  • Hypertension significantly increases the risk of serious complications in people with diabetes, affecting both large and small blood vessels.
  • It's important to maintain blood pressure below 140/90 mm Hg for all adults with diabetes, and aiming for less than 130/80 mm Hg is especially beneficial for those at higher risk for cardiovascular disease.
  • Effective management includes lifestyle changes like a low sodium diet, regular exercise, and improving sleep, along with medications such as renin-angiotensin system inhibitors.

Article Abstract

Hypertension is an important and modifiable risk factor for the macrovascular and microvascular complications of diabetes. Prior literature outlines the significance of lowering blood pressure and subsequent cardiovascular and microvascular benefits. Blood pressure targets of less than 140/90 mm Hg are recommended in all adults with diabetes, with lower blood pressure targets of less than 130/80 mm Hg beneficial for those with higher cardiovascular disease risk. Treatment to lower blood pressure is primarily based on a foundation of lifestyle modifications, low sodium diet, exercise, and good sleep hygiene coupled with multiple medication classes such as renin angiotensin system inhibitors.

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Source
http://dx.doi.org/10.1016/j.ecl.2017.10.008DOI Listing

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