What is the best treatment for hypertension in diabetic patient?
ACE inhibitors and ARBs are preferred agents in the management of patients with hypertension and diabetes. If target blood pressure is not achieved with an ACE inhibitor or ARB, addition of a thiazide diuretic is the preferred second-line therapy for most patients with diabetes.
Can diabetes cause hypertensive crisis?
The clinical presentation of hypertensive crisis between diabetics and nondiabetics was compared [4]. Patients with diabetes exhibited higher rates of hypertensive emergency, particularly, left ventricular failure [4].
What is the treatment for hypertensive urgency?
If the blood pressure remains elevated after beta blockade, a vasodilator such as intravenous nitroglycerin or nitroprusside may be administered. The drugs of choice in treating a hypertensive emergency with acute pulmonary edema are intravenous nitroglycerin, clevidipine, or nitroprusside (1,2,5).
How can hypertension and diabetes be controlled?
The American Diabetes Association recommends the following to help prevent the onset of high blood pressure:
- Reduce your salt intake.
- Engage in stress-relieving activities.
- Exercise regularly.
- Get to and stay at a healthy weight.
- Avoid excessive alcohol intake.
- Stop smoking and avoid exposure to secondhand smoke.
What is the target BP for patients with diabetes and hypertension?
Most guidelines for treatment of hypertension recommend a blood pressure (BP) goal of <140/90 mm Hg, and a more aggressive goal of <130/80 mm Hg for patients with diabetes mellitus.
How is hypertensive nephropathy treated?
Take home message: Patients with hypertensive proteinuric nephropathy need aggressive BP-lowering with multiple agents that should include RAAS blockers, calcium antagonists and diuretics to maximally slow progression to ESRD.