Key result
Five-pillar approach in T2DM recommends a BP target of 120-129/70-79 mmHg to lower CV risk.
Why the study?
Hypertension is prevalent in type 2 diabetes mellitus and both increase cardiovascular risk, requiring a comprehensive management approach for blood pressure and glycaemic control.
Answers are grounded in this paper and cite their sources.
A comprehensive five-pillar approach is recommended for managing hypertension in patients with type 2 diabetes to mitigate cardiovascular risk.
Hypertension (HTN) is prevalent among patients with type 2 diabetes mellitus (T2DM), and both conditions are well-established risk factors for cardiovascular diseases (CVDs) and microvascular complications. To mitigate the risk of CVD, a comprehensive management approach for both blood pressure (BP) and glycaemic control is essential. The current therapeutic strategy should be structured around five pillars aimed at confirming HTN, establishing the 10-year CVD risk and its components and focusing on pharmacological treatment alongside lifestyle interventions to achieve BP targets. In clinical practice, the recommended BP target is 120-129/70-79 mmHg, while an optimal target of ≤120/70 mmHg is being explored under research conditions. Further, BP control should be re-evaluated in cases of resistant or uncontrolled HTN, in conjunction with antidiabetic therapies that have demonstrated cardiovascular and renal protective benefits. This five-pillar approach offers a comprehensive and evolving perspective on BP management in patients with T2DM, although certain aspects continue to be refined as new evidence emerges.
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Pop et al. (2025) conducted a review in Hypertension and Type 2 Diabetes Mellitus. Five-pillar approach to blood pressure management was evaluated. A five-pillar approach to blood pressure management in patients with type 2 diabetes mellitus recommends a clinical BP target of 120-129/70-79 mmHg to mitigate cardiovascular risk.
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