Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Aug;31(3):218-224.
doi: 10.2337/ds17-0085.

Hypertension Management in Diabetes: 2018 Update

Pasquale Passarella  1 , Tatiana A Kiseleva  2 , Farida V Valeeva  2 , Aidar R Gosmanov  1   3
Affiliations

Hypertension Management in Diabetes: 2018 Update

Pasquale Passarella et al. Diabetes Spectr. 2018 Aug.

Abstract

IN BRIEF Several guidelines and position statements are published to help clinicians manage hypertension in patients with diabetes. Although there is an unequivocal call to treat hypertension in diabetes, professional organizations and experts have differing opinions regarding the most optimal blood pressure targets and treatments to lower vascular risks in the diabetes population. The objective of this article is to summarize the most recent hypertension management guidelines with particular attention to the origins and evidence behind these recommendations.

PubMed Disclaimer

Figures

FIGURE 1.
FIGURE 1.
Pathway to initial antihypertensive therapy in patients with diabetes. *Use of chlorthalidone or indapamide is preferred. **Can be suggested as first-line therapy in patients with microalbuminuria. BP, blood pressure; UACR, urine albumin-to-creatinine ratio.
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention National diabetes statistics report—2017. Available from www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-r.... Accessed 23 December 17
    1. NCD Risk Factor Collaboration Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4.4 million participants. Lancet 2016;387:1513–1530 - PMC - PubMed
    1. Adler AI, Stratton IM, Neil HA, et al. . Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. BMJ 2000;321:412–419 - PMC - PubMed
    1. Gosmanov AR, Lu JL, Sumida K, et al. . Synergistic association of combined glycemic and blood pressure level with risk of complications in US veterans with diabetes. J Hypertens 2016;34:907–913 - PMC - PubMed
    1. Stamler J, Vaccaro O, Neaton JD, Wentworth D. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care 1993;16:434–444 - PubMed