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Published on: June 11, 2012
Management of Hypertension in Patients with Diabetes
1Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1461, Houston, TX 77030, USA.
Insights
Hypertension is prevalent in diabetes patients, increasing cardiovascular risk. Effective management involves screening, lifestyle changes, and often multiple medications guided by clinical best practices.
Area of Science:
- Cardiology
- Endocrinology
- Public Health
Background:
- Hypertension is a frequent comorbidity in diabetes patients in the U.S.
- This condition significantly contributes to cardiovascular disease development.
Purpose of the Study:
- To highlight the importance of hypertension screening in diabetic patients.
- To emphasize a comprehensive treatment strategy for managing blood pressure.
Main Methods:
- Review of current guidelines for hypertension management in diabetes.
- Discussion of multifaceted treatment approaches including lifestyle and pharmacologic therapies.
Main Results:
- High prevalence of hypertension (71%-80.6%) observed in U.S. diabetes patients.
- Uncontrolled blood pressure leads to increased morbidity and mortality.
Conclusions:
- Screening and multifaceted treatment are crucial for reducing risks.
- Most patients require multiple medications, necessitating adherence to guidelines for optimal drug selection.
Abstract:
Hypertension is a common comorbid condition among patients with diabetes, occurring in 71% to 80.6% of diabetes patients in the United States, and contributes to the development of cardiovascular disease. Screening for hypertension and a multifaceted treatment approach, including lifestyle management, pharmacologic therapy, and blood pressure targets are the key to reducing morbidity and mortality associated with uncontrolled blood pressure. Most patients require more than 1 medication to control their blood pressure, and clinicians should follow published guidelines to select the most appropriate and efficacious blood pressure agents for their patients.
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