A new review published in JAMA shows that type 2 diabetics with pre-hypertension don’t get as much benefit from treatment compared to those with hypertension. Using 40 trials from 1966 to 2014, researchers looked at blood pressure lowering treatments in more than 100,000 people with type 2 diabetes. Treatment included the standard diuretics, ACE inhibitors, and other hypertension medications. The authors found that with every decrease of 10 mm Hg in systolic blood pressure, the risk of dying during the study decreased by about 10%. Also reduced was the risk acute heart problem, heart disease, stroke and diabetic retinopathy. Lowering blood pressure appeared to carry the most benefit for people whose initial systolic readings were higher than 140 mm Hg, says coauthor Professor Kazem Rahimi of The George Institute United Kingdom and The University of Oxford. While there is currently no concrete number on where blood pressure should be under, guidelines suggest blood pressure below 140/90 mm Hg is considered healthy. What advice could you give diabetic patients who are in the pre-hypertensive stage on lowering their blood pressure?
For more information, please click here.