Target home morning SBP be below 125 mmHg in type 2 diabetes patients

Background: It is not established to what extent self-monitoring of home BP be lowered in patients with type 2 diabetes. We tested the hypothesis that the appropriate home morning SBP cutoff value is 125 mmHg in our stratification of cardiovascular risk in type 2 diabetes. Method: Clinic and home BP monitoring were performed in 4308 individuals (1057 people with diabetes and 3251, nondiabetes), and we tested two cutoff values of home morning SBP (MSBP): 135 and 125 mmHg. Multivariable Cox regression analyses adjusting for age, sex, body mass index, history of cardiovascular events, presence of chronic kidney disease, and atrial fibrillation were used for incident cardiovascular events. Main outcomes included stroke, myocardial infarction, sudden death, and acute aortic dissection. Results: A Kaplan–Meyer analysis revealed that MSBP at least 135 mmHg was significantly associated with cardiovascular events in both diabetes and nondiabetes groups (log-rank test, both P 
Source: Journal of Hypertension - Category: Cardiology Tags: ORIGINAL PAPERS: BP measurement Source Type: research