[Hypertension in patients with diabetes mellitus].
Hypertension in patients with type 2 diabetes mellitus (DM) is one of the most frequent, most serious but treatable risk factors. The results of randomised studies clearly show the benefits of improved blood pressure control in type 2 DM patients but achievement of target blood pressure values in clinical practice remains a major problem. Type 2 DM, and primarily increased systolic blood pressure, significantly worsen patient prognosis with respect to microvascular as well as macrovascular complications. Recommendations by the European Society of Hypertension and the European Society of Cardiology emphasise the need for good diagnostics and effective management, predominantly using combination therapy. In 2009 a revision of recommendations for diagnostics and treatment of hypertension was issued that defines initiation of hypertension therapy in type 2 DM patients and target values and presents results of the most recent studies.
II. interní klinika Lékarské fakulty MU a FN u sv. Anny Brno. miroslav.soucek@fnusa.cz
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D048909:Diabetes Complications / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy