TY - JOUR
T1 - Hypertension in Diabetes
T2 - Treatment Considerations
AU - Glandt, Mariela
AU - Bloomgarden, Zachary T.
PY - 2011/4
Y1 - 2011/4
N2 - Treatment of blood pressure in the patient with diabetes remains a challenge. While data extrapolated from many trials seemed to imply that lower blood pressures leads to more favorable cardiovascular outcomes, this paper reviews newer trials designed to treat to blood pressure targets below 130/80mmHg in patients with long term established diabetes, which showed that this goal may prove more harmful than helpful. In clinical practice this may be less relevant due to the fact that less than half of patients are even at the goal of 130/80. The interaction between glucose control and blood pressure control are also discussed, emphasizing the importance of multifactorial treatment.
AB - Treatment of blood pressure in the patient with diabetes remains a challenge. While data extrapolated from many trials seemed to imply that lower blood pressures leads to more favorable cardiovascular outcomes, this paper reviews newer trials designed to treat to blood pressure targets below 130/80mmHg in patients with long term established diabetes, which showed that this goal may prove more harmful than helpful. In clinical practice this may be less relevant due to the fact that less than half of patients are even at the goal of 130/80. The interaction between glucose control and blood pressure control are also discussed, emphasizing the importance of multifactorial treatment.
UR - https://www.scopus.com/pages/publications/79953686782
U2 - 10.1111/j.1751-7176.2011.00442.x
DO - 10.1111/j.1751-7176.2011.00442.x
M3 - Review article
C2 - 21466632
AN - SCOPUS:79953686782
SN - 1524-6175
VL - 13
SP - 314
EP - 318
JO - Journal of Clinical Hypertension
JF - Journal of Clinical Hypertension
IS - 4
ER -