Author Affiliations: Department of Medicine, University of Melbourne, Austin and Repatriation Medical Centre, Heidelberg, Australia (Drs Cooper and Johnston) and Baker Medical Research Institute, Melbourne, Australia (Dr Johnston).
Recent guidelines have emphasized that the target blood pressure levels
for patients with diabetes should be lower than in other hypertensive groups.1,2 These recommendations are based on
various studies interpreted to conclude that aggressive blood pressure reduction
in this population is associated not only with a reduced rate of progression
of renal disease but also a decreased incidence of cardiovascular events.
This decrease in cardiovascular events is especially relevant to patients
with diabetes, who have at least a 2-fold increase in cardiovascular mortality
that is further increased by concomitant hypertension.3
Cooper ME, Johnston CI. Optimizing Treatment of Hypertension in Patients With Diabetes. JAMA. 2000;283(24):3177-3179. doi:10.1001/jama.283.24.3177