[Treatment of hypertension to prevent cardiovascular disease in diabetics].
Forty to sixty % of diabetic patients are associated with hypertension. Diabetics have been well known to be a high risk group for cardiovascular disease (CVD) such as myocardial infarction and stroke. Concomitant hypertension increases the risk of CVD furthermore by 2-3 times. Thus, recent guidelines for the management of hypertension such as Japanese Society of Hypertension 2009 (JSH2009) recommend to lower blood pressure in diabetics to less than 130/80 mmHg with ACE inhibitors on angiotensin receptor blocker. Long-acting Ca channel blocker or a small dosage of thiazide diuretic is recommended as the second line hypotensive agents in JSH2009.
Katayama
Shigehiro
S
Department of Endocrinology and Diabetes, Faculty of Medicine, School of Medicine, Saitama Medical University.
D000959:Antihypertensive Agents / Q000627:therapeutic use; D003925:Diabetic Angiopathies / Q000517:prevention & control*; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy*
D000959:Antihypertensive Agents