Hypertension in Adults with Diabetes: a Review of Blood Pressure Measurement Methods, Targets and Therapy

Publication date: Available online 1 February 2018 Source:Canadian Journal of Diabetes Author(s): Lyne Cloutier, Maxime Lamarre-Cliche Hypertension occurs in over two-thirds of patients with type 2 diabetes. In a retrospective analysis of a Framingham cohort, high blood pressure (BP) was associated with a 72% increase in the risk of all-cause death and a 57% increment in the risk of any cardiovascular disease event, making hypertension the strongest driver of cardiovascular outcomes in individuals with diabetes. Since one of the key aspects of hypertension management is the correct measurement of BP, different types of monitoring in both clinic and ambulatory settings are reviewed here. Their benefits and challenges are presented along with the resources available to support clinicians and patients in better understanding and using them. Specific phenotypes, such as white coat hypertension and masked hypertension, are also addressed. This review outlines major trials which set systolic and diastolic BP thresholds for patients with diabetes and hypertension. Optimal antihypertensive therapies are described in studies supporting these recommendations.
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research