What is the best treatment for hypertension in diabetic patient?

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.

What is first line antihypertensive medication in a patient with diabetes?

In diabetic hypertensives, angiotensin converting enzyme inhibitors (ACEIs) are the first line in management of hypertension, and can be replaced by angiotensin II receptor blockers (ARBs) if patients are intolerant of them.

Which antihypertensive is contraindicated in diabetes?

Other Antihypertensives α-blockers are not recommended as primary therapy in diabetes and are not widely used because of side effects, such as orthostatic hypotension.

How can hypertension and diabetes be controlled?

The American Diabetes Association recommends the following to help prevent the onset of high blood pressure:

  1. Reduce your salt intake.
  2. Engage in stress-relieving activities.
  3. Exercise regularly.
  4. Get to and stay at a healthy weight.
  5. Avoid excessive alcohol intake.
  6. Stop smoking and avoid exposure to secondhand smoke.

Which beta blocker is best for diabetes?

Carvedilol has been found superior to metoprolol in the control of glucose metabolism in patients with type 2 diabetes and hypertension [2]. Also studies show that carvedilol does not deteriorate insulin resistance, as it was found in a direct comparison with metoprolol [18].

Can a diabetic patient take amlodipine?

Amlodipine 10 mg was also well tolerated in patients with diabetes, demonstrating a safety profile similar to that observed in the non-diabetic patient group and previous studies involving high-dose amlodipine.

Which beta blocker is best for diabetics?

Does metFORMIN cause high blood pressure?

Metformin had no significant effect on ambulatory blood pressure. Thus, metformin has, if any, only a minor clinically insignificant effect on blood pressure in nondiabetic hypertensives. The study does not support the hypothesis that circulating insulin is a major regulator of blood pressure in hypertension.

Why does diabetes cause hypertension?

“Over time, diabetes damages the small blood vessels in your body, causing the walls of the blood vessels to stiffen. This increases pressure, which leads to high blood pressure.” The combination of high blood pressure and type 2 diabetes can greatly increase your risk of having a heart attack or stroke.

What is the optimal blood pressure goal for patients with diabetes mellitus?

While it is evident through randomized trials that treatment of hypertension in diabetes mellitus prevents complications, the optimal blood pressure goal is not clear.

What is included in the hypertension management training?

Hypertension Management Training: Session 1 Powerpoint Effective Diagnosis, Treatment, and Monitoring of Hypertension in Primary Care: Training Workshop Session 1 Burden of Cardiovascular Disease and Hypertension around the Globe and in [COUNTRY] Content should be adapted with country-specific information prior to use.

Is aggressive anti-hypertensive treatment warranted in patients with diabetes mellitus (DM)?

Aggressive anti-hypertensive drug treatment is warranted given the high risk associated with the combination of diabetes and hypertension and the demonstrated effectiveness of anti-hypertensive treatment in reducing cardiovascular morbidity and mortality in this group of patients.

What is the prevalence of hypertension in Type 1 diabetes?

Hypertension occurs in approximately 30% of patients with type 1 diabetes and from 50 to 80% of patients with type 2 diabetes. Although the pathogenesis of hypertension is distinct in each type, hypertension markedly enhances the already high risk of cardiovascular and renal disease in types 1 and 2 …

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