J Korean Diabetes.  2020 Mar;21(1):27-35. 10.4093/jkd.2020.21.1.27.

Recent Guideline for the Management of Hypertension in Patients with Diabetes

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea

Abstract

Hypertension is a major risk factor for cardiovascular disease in diabetic as well as non-diabetic patients. Moreover, the presence of diabetes increases the risk of developing hypertension. The management of these two diseases will become even more important in our aging society. Despite significant advances in our understanding of the pathophysiology and treatment of hypertension, the management of hypertension remains controversial, especially in patients with diabetes. In particular, the blood pressure at which to initiate drug therapy and blood pressure target remain unclear. Recently, the Korean Diabetes Association published “Treatment Guideline for Diabetes 2019”. This review will mainly compare major guidelines from other countries and discuss how to select a target goal for blood pressure control in Korean diabetic patients. Lifestyle modification and the use of anti-hypertensive agents for the management of hypertension will also be discussed.

Keyword

Antihypertensive agents; Blood pressure determination; Diabetes mellitus; Hypertension
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