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September 10, 2003

The JNC 7 Hypertension GuidelinesThe JNC 7 Hypertension Guidelines

JAMA. 2003;290(10):1312. doi:10.1001/jama.290.10.1312-a

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 and realistic.