Current considerations in patients with coexistent diabetes and hypertension

Primary health care providers frequently manage patients with diabetes and hypertension as co-morbid conditions. Because of the increased complexity and morbidity that occur when these conditions coexist, it is essential that practitioners remain aware of current treatment considerations and options, which are essential in helping patients manage this condition. This article reviews current considerations in the management and care of hypertension in diabetic patients. Possible differential diagnoses are considered, and current recommendations for essential nonpharmacological treatment approaches are reviewed. Particular emphasis is placed on the choice and initiation of pharmacological therapy for hypertension in the diabetic and the unique considerations necessary in this patient population. Standards of care for diabetic patients with the complication of hypertension are reviewed.