The goal of blood pressure in the hypertensive patient with diabetes is defined: now the challenge is go from recommendations to practice
Key result
Recent guidelines recommend a blood pressure target of <140/90 mmHg for patients with type 2 diabetes, as intensive lowering below 130/80 mmHg lacks proven benefit and may increase cardiovascular risk.
Why the study?
What is the optimal blood pressure target in hypertensive patients with type 2 diabetes?
Population
Hypertensive patients with type 2 diabetes
Design
Review
Authors
Discussion
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Member takes
Implication
Guideline targets of <140/90 mmHg remain appropriate in type 2 diabetes; leaves open whether individualized lower goals warrant prospective trials.
Structured PICO
What is the optimal blood pressure target in hypertensive patients with type 2 diabetes?
P
Population
A review of clinical trials and guidelines regarding optimal blood pressure targets in patients with type 2 diabetes and hypertension.
I
Intervention
Blood pressure lowering therapy targeting <140/90 mmHg
The review emphasizes the importance of avoiding therapeutic inertia and targeting a blood pressure of <140/90 mmHg in diabetic patients, as lower targets (<130/80 mmHg) lack benefit and may be harmful.
Limitations
- Narrative review summarizing existing literature rather than presenting new primary data
- Potential for reverse causality in observational studies showing a J-curve effect
Cite This Study
López‐Jaramillo et al. (2014) conducted a review in Hypertension and Type 2 Diabetes. Blood pressure control targets was evaluated. Recent guidelines recommend a blood pressure target of <140/90 mmHg for patients with type 2 diabetes, as intensive lowering below 130/80 mmHg lacks proven benefit and may increase cardiovascular risk.