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Contempo Updates
June 28, 2000

Optimizing Treatment of Hypertension in Patients With Diabetes

Author Affiliations

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).

JAMA. 2000;283(24):3177-3179. doi:10.1001/jama.283.24.3177

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