Revista de la Sociedad Argentina de Diabetes (Aug 2022)

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

  • Solange Houssay,
  • Silvana Milrad,
  • Ángela Luongo,
  • Carolina Gómez Martín,
  • Diego Wappner,
  • Guillermo Dieuzeide

DOI
https://doi.org/10.47196/diab.v56i2Sup.538
Journal volume & issue
Vol. 56, no. 2Sup
pp. 48 – 52

Abstract

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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.

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