What is the association of blood pressure levels with cardiovascular and mortality outcomes in older adults with or without diabetes mellitus?
In older adults (≥ 65 years) with diabetes, a blood pressure target of >130/80 to <140/90 mmHg may be optimal, suggesting that stringent blood pressure control is not supported in this population.
Observational evidence suggests SBP and DBP confer similar cardiovascular and mortality risk in older adults in the general population and those with DM. A blood pressure target range of > 130/80 to < 140/90 mmHg may be optimal for patients ≥ 65 years with DM, but specific targets may need to be individualised based on patients' unique circumstances. Furthermore, findings do not support stringent blood pressure control in this population group. Definitive RCTs are needed to support these observational findings.
Seidu et al. (Fri,) studied this question.