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[Hypertension and diabetes mellitus]

[Hypertension and diabetes mellitus]

Authors :
Shin-ichi, Araki
Hiroshi, Maegawa
Source :
Nihon rinsho. Japanese journal of clinical medicine. 73(11)
Publication Year :
2015

Abstract

The goal of diabetes treatment is to maintain a quality of life. Hypertension is a common diabetes comorbidity and is a risk factor for mortality. Epidemiological studies show that blood pressure (BP) lowering is associated with improving prognosis in this population. However, recent clinical trials and meta-analyses report no benefit of an intensive BP lowering of130/80 mmHg on mortality and cardiovascular complications, except stroke. Furthermore, the excess BP lowering should be avoided not to increase the risk of adverse effects such as hypotension, especially in elderly patients or those with adverse vascular complications. In Japanese diabetes guidelines, a BP target of130/80 mmHg is still recommended in diabetic patients with hypertension because of the high incidence of stroke in Japanese.

Details

ISSN :
00471852
Volume :
73
Issue :
11
Database :
OpenAIRE
Journal :
Nihon rinsho. Japanese journal of clinical medicine
Accession number :
edsair.pmid..........bace191506ccc298dd0dc4c99ef2935c