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[Hypertensive management of the diabetic patients]

Takafumi Okura

    Nihon Rinsho. Japanese Journal of Clinical Medicine
    |December 16, 2015
    PubMed

    Insights

    Patients with diabetes and hypertension face high cardiovascular disease risk. Stricter blood pressure control using renin-angiotensin system blockers is crucial, considering existing vascular lesions like cerebrovascular disorder and coronary artery disease.

    Area of Science:

    • Cardiology
    • Endocrinology
    • Nephrology

    Context:

    • Hypertension and diabetes mellitus significantly elevate cardiovascular disease (CVD) risk.
    • Patients with both conditions often present with pre-existing vascular lesions.
    • Renin-angiotensin system (RAS) blockade is a key antihypertensive strategy.

    Purpose:

    • To highlight the increased CVD risk in hypertensive patients with diabetes mellitus.
    • To emphasize the need for stringent blood pressure control in this population.
    • To underscore the importance of considering vascular complications when initiating antihypertensive therapy.

    Summary:

    • High cardiovascular disease risk necessitates stringent blood pressure control in hypertensive patients with diabetes mellitus.
    • Antihypertensive treatment, particularly RAS blockade, must account for existing vascular lesions.
    • Cerebrovascular disorder, coronary artery disease, and renal artery stenosis are critical considerations.

    Impact:

    • Informs clinical practice for managing hypertensive patients with diabetes.
    • Guides the selection and initiation of antihypertensive medications.
    • Aims to reduce cardiovascular events and improve patient outcomes.

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