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Blood Pressure in Diabetes: Multiple Drugs Needed to Attain Lower Goals

KEY POINT

For the 11 million Americans who have both diabetes and hypertension, the National Kidney Foundation (NKF) has suggested lowering the goal of blood pressure treatment to 130/80 mm Hg. Intensive control of blood pressure in these patients has been shown to reduce cardiovascular morbidity and mortality, regardless of which antihypertensive agents are used for first-line therapy. However, treatment with more than one medication is usually required to reach goal, and evidence indicates that multidrug therapy is more beneficial than single agents alone.

SOURCES

Bakris GL et al. Preserving renal function in adults with hypertension and diabetes: a consensus approach. Am J Kidney Dis. 2000;36:646–61. 800-622- 9010.

Grossman E et al. High blood pressure and diabetes mellitus: are all antihypertensive drugs created equal? Arch Intern Med. 2000;160:2447–52.

National Heart, Lung, and Blood Institute. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Bethesda, Md: National Institutes of Health; 1997. NIH publication 98-4080.