Diabetes: treating hypertension

Overview

Hypertension in diabetes is classically defined as a systolic blood pressure of 140 mmHg or greater or a diastolic blood pressure of 90 mmHg or greater.[1] Hypertension is divided into three stages. Pre-hypertension is a systolic blood pressure of 120 mmHg to 139 mmHg or a diastolic blood pressure of 80 mmHg to 89 mmHg. Stage 1 hypertension is a systolic blood pressure of 140 mmHg to 159 mmHg or diastolic blood pressure of 90 mmHg to 99 mmHg. ...read more. Stage 2 hypertension is a systolic blood pressure of 160 mmHg or greater or a diastolic blood pressure of 100 mmHg or greater.[1] However, guidelines now suggest that drug therapy should be instituted in any person with diabetes and hypertension, regardless of stage. This review focuses on adults with diabetes with stage 1 or 2 hypertension, but with no diagnosis of CHD, diabetic retinopathy, or nephropathy. The control of hypertension in people with diabetic retinopathy and those with diabetic nephropathy are described in separate reviews.

Latest citations

Cardiorespiratory response to exercise after renal sympathetic denervation in patients with resistant hypertension. ( 18 September 2014 )

2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). ( 18 September 2014 )