Hypertension in patients with diabetes. Strategies for drug therapy to reduce complications.

Abstract:

:Hypertension in diabetic patients must be treated aggressively if patients are to benefit from reduced risk of morbidity and mortality. Diabetes itself must be diagnosed promptly, particularly in at-risk patients, so appropriate lifestyle modifications can be made at the earliest opportunity. Although this may reduce or delay onset of hypertension, antihypertensive drug treatment should be initiated in the diabetic patient with even high-normal blood pressure. Traditional approaches to management of hypertension are inappropriate for most patients with diabetes. While ACE inhibitors, calcium antagonists, angiotensin II receptor blockers, beta blockers, and low-dose diuretics, alone or in combination, all currently have roles in hypertension management, the outcomes of studies now under way may clarify some still unanswered questions about the dangerous combination of high blood pressure and diabetes.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Sowers JR,Williams M,Epstein M,Bakris G

doi

10.3810/pgm.2000.04.990

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

47-54, 60

issue

4

eissn

0032-5481

issn

1941-9260

journal_volume

107

pub_type

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