Ras Blockers (Aceis & ARBs)
Choice of Antihypertensive Drug in the Diabetic Patient. The evidence from the trials suggests that diuretics, beta-blockers, calcium channel blockers (CCBs), angiotensin-converting enzyme (ACE) inhibitors, and the angiotensin-receptor antagonists (ARBs) will …
Microvascular and Macrovascular Complications of Hypertension in Patients with Diabetes. The most recent guidelines from the ADA and NKF recommend that blood pressure be decreased to less than 130/80 mm Hg, with an optimal target of below 120/80 mm Hg, especially in patients with proteinuria or renal insufficiency.
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Patients with diabetes mellitus have a high risk of cardiovascular disease, and the latter is the leading cause of premature mortality in diabetic patients. Treatment of risk factors and comorbidities, such as hypertension, is very important and may effectively prevent cardiovascular events.
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There is a strong epidemiological connection between hypertension in diabetes and adverse outcomes of diabetes. Clinical trials demonstrate the efficacy of drug therapy versus placebo in reducing these outcomes and in setting an aggressive blood pressure–lowering target of <130/80 mmHg.
Mar 03, 2016 · These results suggest that choice of antihypertensive drug in patients with diabetes should be based on factors other than drug class (e.g., cost, side effects, indications such as coronary heart disease).
Author: Paul S. Mueller, Facp
ACE Inhibitors Top Choice for Hypertension in Diabetes . Mark L. Fuerst; Nov 18, 2013 (ACE) inhibitors should be the first-line treatment in patients with hypertension who have diabetes mellitus (DM) when cost is not a concern, according to a new study. No consensus exists about the choice of treatments in combination with renin
Drug of Choice in the Management of Hypertension in Diabetes and Diabetic Nephropathy: Angiotensin-Converting Enzyme Inhibitors. Authors. The classical scheme of the natural history of diabetic nephropathy 11 suggested that in diabetes, hypertension was a relatively late result of renal dysfunction indicated by the presence of proteinuria.
Hypertension is a common problem in patients with both type 1 and type 2 diabetes, but the time course in relation to the duration of diabetes is different . Among those with type 1 diabetes, the incidence of hypertension rises from 5 percent at 10 years, to 33 percent …