How to individualize arterial hypertension treatment in type 2 diabetes mellitus?

Authors

  • Solange Houssay José María Ramos Mejía Hospital, Autonomous City of Buenos Aires, Argentina
  • Silvana Alejandra Milrad Manuel Rocca Rehabilitation Hospital, Autonomous City of Buenos Aires, Argentina
  • Ángela Luongo Pueyrredón Medical Center, Banfield, Province of Buenos Aires, Argentina
  • Carolina Gómez Martín Comprehensive Center of Endocrinology and Diabetes (CENDIA), Concordia, Entre Ríos, Argentina
  • Diego Wappner INFANT Foundation, Autonomous City of Buenos Aires, Argentina
  • Guillermo Dieuzeide University of Buenos Aires, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v56i2Sup.538

Keywords:

diabetes, arterial hypertension

Abstract

In patients with diabetes mellitus (DM) and hypertension (HP), blood pressure (BP) goals should be individualized considering cardiovascular risk, potential adverse effects of antihypertensive medications, cost, and patient preferences.
In people with DM and high cardiovascular risk, a BP target <130/80 mmHg would be appropriate if it can be achieved safely. If cardiovascular risk is low, treat hypertension with a target <140/90 mmHg. In pregnant women with gestational diabetes mellitus (GDM) and preexisting hypertension, a BP target of 110-135/85 mmHg is suggested to reduce the risk of eclampsia and minimize intrauterine growth restriction.

Author Biographies

Solange Houssay, José María Ramos Mejía Hospital, Autonomous City of Buenos Aires, Argentina

University Specialist in Nutrition and Medical Clinic; Staff Physician, Nutrition and Diabetes Unit, Department of Medicine, José María Ramos Mejía Hospital; Associate professor of the Nutrition Chair, University of Buenos Aires (UBA); Coordinator of the Committee on Arterial Hypertension and cardiovascular risk factors, Argentine Diabetes Society (SAD)

Silvana Alejandra Milrad, Manuel Rocca Rehabilitation Hospital, Autonomous City of Buenos Aires, Argentina

Specialist in Medical Clinic and Nutrition; Head of Emergency Services of the Manuel Rocca Rehabilitation Hospital, Government of the Autonomous City of Buenos Aires; Secretary of the Arterial Hypertension and Cardiovascular Risk Factors Committee, Argentine Diabetes Society (SAD)

Ángela Luongo, Pueyrredón Medical Center, Banfield, Province of Buenos Aires, Argentina

Nutrition Specialist

Carolina Gómez Martín, Comprehensive Center of Endocrinology and Diabetes (CENDIA), Concordia, Entre Ríos, Argentina

Specialist in Internal Medicine, University of Buenos Aires (UBA), specialized in Diabetes, Argentine Diabetes Society (SAD); Co-director of the Comprehensive Center for Endocrinology and Diabetes (CENDIA)

Diego Wappner, INFANT Foundation, Autonomous City of Buenos Aires, Argentina

Specialist in Internal Medicine and Medical Clinic, Master in Diabetes, Master in Cardiovascular Disease; Responsible for the area of ??Chronic Non-Communicable Diseases (NCCD) Fundación INFANT

Guillermo Dieuzeide, University of Buenos Aires, Autonomous City of Buenos Aires, Argentina

Doctor of Medicine, University of Buenos Aires (UBA), specialist in Endocrinology, Council for Certification and Recertification of Medical Specialties/Argentine Society of Endocrinology and Metabolism/Medical Council of the Province of Buenos Aires (CREM/SAEM/CMPBA); Favaloro University Professor, Head of the Endocrinology and Diabetes Service, Hospital Nuestra. Mrs. del Carmen

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Published

2022-08-01

How to Cite

Houssay, S., Milrad, S. A., Luongo, Ángela, Gómez Martín, C., Wappner, D., & Dieuzeide, G. (2022). How to individualize arterial hypertension treatment in type 2 diabetes mellitus?. Journal of the Argentine Society of Diabetes, 56(2Sup), 48–52. https://doi.org/10.47196/diab.v56i2Sup.538

Issue

Vol. 56 No. 2Sup (2022): May/Agost 2022

Section

Recommendations

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Copyright (c) 2022 on behalf of the authors. Reproduction rights: Argentine Diabetes Society

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Dirección Nacional de Derecho de Autor, Exp. N° 5.333.129. Instituto Nacional de la Propiedad Industrial, Marca «Revista de la Sociedad Argentina de Diabetes - Asociación Civil» N° de concesión 2.605.405 y N° de disposición 1.404/13.

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