Blood Pressure Target in Type 2 Diabetes Mellitus

Abstract

The prevalence of diabetes mellitus continues to increase worldwide, and it is a well-established cardiovascular risk factor. Hypertension is also an important cardiovascular risk factor to be controlled and is common among patients with diabetes mellitus. Optimal blood pressure (BP) goals have been the subject of great debate in the management of hypertension among patients with diabetes mellitus. This review provides detailed results from randomized controlled trials and meta-analyses of clinical outcomes according to the target BP in patients with type 2 diabetes mellitus. In addition, the target BP in patients with diabetes mellitus recommended by different guidelines was summarized and presented. A target BP of <140/90 mm Hg is recommended for patients with hypertension and diabetes mellitus, and BP should be controlled to <130/80 mm Hg in patients with diabetes mellitus who have high-risk clinical features. We hope that this review will be helpful to clinicians and patients by promoting the understanding and appropriate application of BP control in the comprehensive management of patients with diabetes mellitus.

Keywords: Blood pressure; Cardiovascular diseases; Diabetes mellitus; Hypertension.

Fig. 1.

Optimal target blood pressure (BP) for general and high-risk clinical features in patients with diabetes mellitus. Considering these guidelines and studies, it is important to apply individualized target BP for patients with diabetes mellitus. SBP, systolic blood pressure; DBP, diastolic blood pressure; CV, cardiovascular.