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[How is the management of diabetic hypertensive patients different?]

Anne Dufey Teso1, Faiza Lamine1,2,3, Anne Zanchi1,2

  • 1Service de néphrologie et d'hypertension, Centre hospitalier universitaire vaudois, 1011 Lausanne.

Revue Medicale Suisse
|September 14, 2022
PubMed

Insights

High blood pressure is common in diabetes and increases risks. Treatment targets should be personalized, incorporating newer therapies that also reduce cardiovascular and kidney disease.

Area of Science:

  • Cardiology
  • Endocrinology
  • Nephrology

Background:

  • High blood pressure (HBP) is prevalent in diabetic patients, exacerbating diabetes complications and cardiovascular risk.
  • Effective management of HBP is crucial for improving outcomes in this high-risk population.

Purpose of the Study:

  • To highlight the importance of routine screening and tailored treatment of HBP in patients with diabetes.
  • To discuss current and emerging therapeutic strategies for managing HBP in diabetic individuals.

Main Methods:

  • Review of current clinical guidelines and recent pharmacological advancements for HBP management in diabetes.
  • Analysis of treatment benefits beyond blood pressure reduction, focusing on cardiovascular and renal protection.

Main Results:

  • Blood pressure targets (<130/80mmHg) require individualization based on patient age and comorbidities.
  • Therapeutic options now extend beyond traditional renin-angiotensin-aldosterone system inhibitors.
  • Emerging treatments like SGLT2 inhibitors, GLP-1 receptor agonists, and finerenone offer combined cardiovascular and renal risk reduction.

Conclusions:

  • Aggressive and individualized management of HBP is essential in diabetic patients.
  • Novel therapeutic agents provide significant benefits in reducing cardiovascular and renal complications in this population.
  • The therapeutic landscape for HBP in diabetes is evolving, offering improved patient outcomes.

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