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Hypertension Management in Diabetes: 2018 Update.

Pasquale Passarella1, Tatiana A Kiseleva2, Farida V Valeeva2

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Managing hypertension in diabetes patients is crucial, but guidelines differ on optimal blood pressure targets and treatments for reducing vascular risks. This review examines recent hypertension management guidelines and their supporting evidence.

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Area of Science:

  • Cardiology
  • Endocrinology
  • Clinical Practice Guidelines

Background:

  • Hypertension management in patients with diabetes is essential for reducing vascular complications.
  • Existing guidelines and expert opinions offer differing recommendations on optimal blood pressure targets and therapeutic strategies.
  • There is a need for clarity on the evidence base supporting current hypertension management recommendations in diabetes.

Purpose of the Study:

  • To summarize recent clinical practice guidelines for hypertension management in patients with diabetes.
  • To critically analyze the evidence and rationale behind specific recommendations.
  • To highlight areas of consensus and divergence among professional organizations.

Main Methods:

  • Systematic review of recently published hypertension management guidelines and position statements.
  • Comparative analysis of recommendations concerning blood pressure targets and pharmacological/non-pharmacological interventions.
  • Examination of the cited evidence, including clinical trials and epidemiological studies.

Main Results:

  • Multiple guidelines emphasize the necessity of treating hypertension in diabetes.
  • Significant variation exists regarding target blood pressure levels and preferred antihypertensive agents.
  • Evidence supporting specific targets and treatments for vascular risk reduction in this population is debated.

Conclusions:

  • Clinicians face challenges in applying hypertension guidelines to diabetes patients due to differing recommendations.
  • Further research is needed to establish definitive evidence for optimal treatment strategies.
  • A unified approach to hypertension management in diabetes is desirable to improve patient outcomes.