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February 10, 2015

Treating Hypertension in Patients With Diabetes: When to Start and How Low to Go?

Author Affiliations
  • 1National Institute for Health Research, University College London Hospitals, Biomedical Research Centre, University College London, London, United Kingdom
JAMA. 2015;313(6):573-574. doi:10.1001/jama.2015.89

Hypertension and type 2 diabetes are inextricably linked.1 Indeed, the epidemiological and pathophysiological link between hypertension and diabetes dates back to 1929, when an increased likelihood of high blood pressure (BP) in people with diabetes was first recognized.2 Subsequent studies have demonstrated that high BP is at least twice as common in individuals with type 2 diabetes, when compared to age-matched individuals without diabetes. Moreover, hypertension greatly increases the risk of developing macrovascular (myocardial infarction, stroke, peripheral vascular disease, and congestive heart failure) and microvascular (retinopathy and nephropathy) complications of diabetes and risk of premature death.3

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