Systolic BP goals in diabetes mellitus <130 or <140?
DOI:
https://doi.org/10.47196/diab.v56i3Sup.551Keywords:
diabetes mellitus, hypertensionAbstract
The prevalence of hypertension in adults with diabetes is approximately 80%, and it is at least twice as frequent in people with type 2 diabetes (DM2), compared to people of the same age without DM2. The coexistence of hypertension and diabetes notably increases the risk of developing coronary heart disease, heart failure, stroke and mortality from atherosclerotic cardiovascular disease. Additionally, it can increase the risk of microvascular disease, such as nephropathy or retinopathy.
A goal of systolic BP <130 mmHg would be recommended if it can be achieved with CV safety, in people with DM and high cardiovascular risk defined as:
• established atherosclerotic cardiovascular disease (acute coronary syndrome (ACS), cerebrovascular accident (CVA), transient ischemic attack (TIA), peripheral vascular disease (PVD).
References
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II. Adler AI, Stratton IM, Neil HA, Yudkin JS, Matthews DR, Cull CA, et al. Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. BMJ 2000 Aug 12;321(7258):412-9.
III. Do DV, Wang X, Vedula SS, Marrone M, Sleilati G, Hawkins BS, et al. Blood pressure control for diabetic retinopathy. Cochrane Database Syst Rev. 2015 Jan 31;1:CD006127. Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes 2021 Diabetes Care 2021;44(Suppl. 1): S125–S150.
IV. Guía de Práctica Clínica Nacional sobre Prevención, Diagnóstico y Tratamiento de la Hipertensión Arterial (HTA), 2019. Buenos Aires, Argentina. Dirección Nacional de Promoción de la Salud y Control de Enfermedades Crónicas No Transmisibles. Ministerio de Salud y Desarrollo Social de la Nación. Disponible en: http://www.msal.gob.ar/ent/index.php/informacion-equipos-de-salud/guias-de-practica-clinica.
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