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Diabetes: treating hypertension.

Sandeep Vijan1

  • 1University of Michigan, Ann Arbor, MI.

BMJ Clinical Evidence
|June 27, 2014
PubMed
Summary
This summary is machine-generated.

Hypertension is common in US adults with diabetes. This review examines blood pressure targets for those with diabetes and hypertension, comparing intensive versus less intensive approaches.

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Area of Science:

  • Cardiology
  • Endocrinology
  • Nephrology

Background:

  • Hypertension prevalence in US adults with diabetes (59%) is double that in non-diabetic adults.
  • Diabetes and hypertension significantly increase cardiac event risk, especially with diabetic nephropathy.

Purpose of the Study:

  • To systematically review the effects of different blood pressure targets in patients with diabetes and hypertension.
  • To compare the effectiveness and safety of intensive (lower) versus less intensive (higher) blood pressure targets.

Main Methods:

  • Systematic review of 10 studies.
  • Searched Medline, Embase, The Cochrane Library up to October 2013.
  • Included harms alerts from FDA and MHRA.

Main Results:

  • The review identified 10 studies meeting inclusion criteria.
  • Information on effectiveness and safety of varying blood pressure targets was compiled.

Conclusions:

  • The study provides insights into managing blood pressure in individuals with both diabetes and hypertension.
  • Effectiveness and safety data for intensive versus less intensive blood pressure targets are presented.