Hypertension and diabetes: guidelines for clinical practice 2015. Commitee on hypertension and other cardiovascular risk factors. Sociedad Argentina de Diabetes
DOI:
https://doi.org/10.47196/diab.v49i2.201Keywords:
diabetes, hypertension, diagnosis, treatmentAbstract
Introduction: arterial hypertension (AH) and diabetes mellitus (DM) are chronic medical conditions of high prevalence, which are often associated.
Objectives: to provide useful information and relevant knowledge to support clinical practices that aim at optimizing the diagnosis and offering appropriate therapeutic decisions based on current scientific approaches in the field.
Material and methods: these “Guidelines for Clinical Practice” were created using the evidence available, large clinical trials published in the last four years and adapted diagnostic and therapeutical resources in our country. The outcomes of our effort resulted in a set of recommendations to support best clinical
practices.
Conclusions: AH increases the progression and development of chronic micro and macro vascular complications related to DM. The impact of Hypertension treatment is highly significant in reducing morbidity and mortality in people with diabetes mellitus. Therefore, proper early treatment and therapeutic target goals should be individualized according to age group, comorbidities, and target organ damage. The goal is to achieve Blood Pressure (BP) <140/90 mmHg in all people suffering from AH,
with or without DM and/or with Chronic Kidney disease (CKD). The BP target closer to130/80 mmHg should be considered in young people without comorbidities with long life expectancy and shorter diagnosis of DM: who will be benefited at renal
level and whose stroke risk is substantial if achieved without treatment-related adverse effects. ACE inhibitors or ARBs are the drugs of choice, except in cases of intolerance or contraindication. A small percentage of people achieve the therapeutic
goal. Proper educational activities are essential to improve adherence to treatment.
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