Thresholds and Targets for Hypertension Management in Adults With Type 2 Diabetes Should Remain at 130/80 mmHg: What's the Evidence?

Publication date: April 2018Source: Canadian Journal of Diabetes, Volume 42, Issue 2Author(s): Niharika Shahi, Sheldon W. TobeAbstractHypertension and diabetes are common comorbidities and are both modifiable risk factors for cardiovascular disease and death. Lowering blood pressure reduces target organ damage and prevents cardiovascular disease outcomes. The harmonized Canadian clinical practice guidelines for managing hypertension in people with diabetes provides health-behaviour advice and medical therapy recommendations for a threshold blood pressure of 130/80 mmHg and above and to target blood pressure to below 130/80 mmHg. We have reviewed the studies supporting these recommendations and others, and they appear to be at odds with the guidelines, including those for elderly people and patients with pre-existing cardiovascular disease.RésuméL'hypertension et le diabète sont des maladies concomitantes fréquentes qui ont des facteurs de risque de maladie cardiovasculaire et de mortalité modifiables. L'abaissement de la pression artérielle réduit les atteintes d'organes cibles et prévient l'évolution des maladies cardiovasculaires. L'harmonisation des lignes directrices canadiennes de pratique clinique sur la prise en charge de l'hypertension chez les personnes diabétiques a permis de fournir des conseils sur les comportements en matière de santé et des recommandations sur le traitement médical de la pression artérielle supérieure au seuil de 130/80 mmHg...
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research