Hypertension is commonly witnessed among patients suffering from type 2 diabetes as compared to those who do not have diabetes. Studies have revealed that arterial hypertension among patients suffering from type 2 diabetes is in the vicinity of 40-50 per cent. What’s more, a patient suffering from hypertension and diabetes has an increased risk factor for certain other diseases such as left ventricular hypertrophy, dyslipidemia, elevated fibrinogen and hyperuricemia.
The measurement practice:
Blood pressure measurement should be repeated within a month if the measurement is 140/90 mm Hg.
If a person is consistently suffering from type 2 diabetes and has a BP range of 140-90 mm of Hg, the following lifestyle practices should be maintained always:
A doctor’s first line of treatment hovers around ACE inhibitors. ACEis block the conversion of angiotensin I into angiotensin II by inhibition of ACE. The reduced levels of angiotensin II lead not only to a fall in blood pressure but also to a reduction of potential harmful effects of angiotensin II on the cardiovascular system, such as structural damage to the heart, blood vessels and kidneys.
In diabetic patients, combination treatment is usually needed to effectively lower BP, so the discussion of which medication to be used first is not always important. However, a blocker of the renin-angiotensin system (RAS) should almost invariably be included because of the evidence of its superior protective effects. Especially, in proteinuric diabetic nephropathy, RAS blockade is clearly indicated. So, for persons with cardiovascular or kidney disease, including microalbuminuria, or with cardiovascular risk factors in addition to diabetes and hypertension, an ACEi or ARB should be started.