Diabetes Care, Vol 10, Issue 6 764-776, Copyright © 1987 by American Diabetes Association
Statement on hypertension in diabetes
Hypertension and diabetes mellitus are commonly associated. Hypertension
contributes substantially to morbidity and mortality in the diabetic
population. This report was prepared as a practical guide for the
management of hypertension in diabetic patients. Although treatment of
hypertension in most diabetic patients does not differ from that in
nondiabetic patients, this report outlines some special considerations
relevant to the presence of both diseases. For both hypertension and
diabetes, basic nonpharmacologic therapy consists of dietary alterations,
exercise, weight management, smoking cessation, and restricted alcohol
intake. These measures should be instituted as initial therapy or
concomitant with pharmacologic measures. The stepped-care approach to drug
treatment in essential hypertension serves as a guide to therapy.
Flexibility in the use of antihypertensive drugs is suggested, and selected
practical issues in drug treatment are reviewed.
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