What is the best treatment for hypertension in diabetic patient?

What is the best treatment for hypertension in diabetic patient?

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.

How is diabetes a risk factor for hypertension?

There are three ways in which high glucose levels in the blood can increase blood pressure: The blood vessels lose their ability to stretch. The fluid in the body increases, especially if diabetes is already affecting the kidneys. Insulin resistance may involve processes that increase the risk of hypertension.

What goals of therapy can you recommend on patients with hypertension complicated by diabetes?

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.

How do you manage diabetes and hypertension?

Many of the things you do for your diabetes will also help with high blood pressure:

  1. Control your blood sugar.
  2. Stop smoking.
  3. Eat healthy.
  4. Exercise most days.
  5. Keep your weight in a healthy range.
  6. Don’t drink a lot of alcohol.
  7. Limit how much salt you eat.
  8. Visit your doctor regularly.

Which tablet is best for high blood pressure?

Calcium channel blockers reduce blood pressure by widening your blood vessels. Common examples are amlodipine, felodipine and nifedipine. Other medicines, such as diltiazem and verapamil, are also available.

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.

Can hypertension be cured?

Hypertension is a chronic disease. It can be controlled with medication, but it cannot be cured. Therefore, patients need to continue with the treatment and lifestyle modifications as advised by their doctor, and attend regular medical follow up, usually for life.

Is 150 90 A good blood pressure?

As a general guide: high blood pressure is considered to be 140/90mmHg or higher (or 150/90mmHg or higher if you’re over the age of 80) ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg.

Can drinking too much water cause high blood pressure?

The National Academy of Sciences recommends drinking when thirsty rather than consuming a specific number of glasses daily. It is unlikely that drinking water raises blood pressure. A healthy body regulates fluids and electrolytes quickly.

Does drinking water help reduce high blood pressure?

Keeping well hydrated by drinking six to eight glasses of water daily (even more if working in hot and humid conditions) is beneficial for the blood pressure. Keeping well hydrated by drinking six to eight glasses of water daily (even more if working in hot and humid conditions) is beneficial for the blood pressure.

How is diabetes related to risk of hypertension?

Evidence review: hypertension as a risk factor for complications of diabetes. Diabetes increases the risk of coronary events twofold in men and fourfold in women. Part of this increase is due to the frequency of associated cardiovascular risk factors such as hypertension, dyslipidemia, and clotting abnormalities.

What are the guidelines for diabetic hypertension management?

IN BRIEF Several guidelines and position statements are published to help clinicians manage hypertension in patients with diabetes.

Is it possible to reduce blood pressure with diabetes?

Hypertension is a chronic disease, and it is unclear whether rapid blood pressure reduction is of immediate benefit in patients with diabetes and particularly in those who are elderly, have multiple comorbidities including kidney disease, have polypharmacy, or are at risk for orthostatic hypotension.

What makes a person at risk for high blood pressure?

Genes likely play some role in high blood pressure, heart disease, and other related conditions. However, it is also likely that people with a family history of high blood pressure share common environments and other potential factors that increase their risk.

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