To the Editor: The JNC 7 report1 recommended
a blood pressure goal of 130/85 mm Hg for patients with diabetes. None of
the larger controlled studies2-5 of
hypertension in patients with diabetes mellitus, however, achieved a mean
systolic blood pressure of less than 140 mm Hg, despite intensive treatment.
Thus, although the JNC 7 guidelines seem to provide a reasonable goal, there
is no evidence that this is achievable despite treatment with several antihypertensive
medications. The recommended blood pressure goal of 135/80 mm Hg by the American
College of Physicians6 seems more reasonable
Murthy GD. The JNC 7 Hypertension GuidelinesThe JNC 7 Hypertension Guidelines. JAMA. 2003;290(10):1312. doi:10.1001/jama.290.10.1312-a
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