title: Time for considering other blood pressure target values in elderly patients with type 2 diabetes?
abstract: Although blood pressure control has undoubtedly proven its benefits in reducing the high cardiovascular risk in patients with type 2 diabetes mellitus (T2DM), it still remains unclear whether intensive antihypertensive treatment in old age (> 75 years) is beneficial. Many of the current guidelines recommend a systolic blood pressure (SBP) < 140 mmHg or lower, unless patients are at high risk for possible adverse events such as postural hypotension (1,2). This perspective aims to get a discussion started on the appropriate target SBP value for patients with T2DM aged older than 75 years.We would like to propose the less stringent value of< 160 mmHg in this specific population.
authors.affiliation: Diabetes Centre, Isala Clinics, Zwolle, the Netherlands. k.j.j.van.hateren@isala.nl
authors.forename: K J J
authors.initials: KJ
authors.lastname: van Hateren
authors.forename: G W D
authors.initials: GW
authors.lastname: Landman
authors.forename: N
authors.initials: N
authors.lastname: Kleefstra
authors.forename: S T
authors.initials: ST
authors.lastname: Houweling
authors.forename: K
authors.initials: K
authors.lastname: van der Meer
authors.forename: H J G
authors.initials: HJ
authors.lastname: Bilo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure / Q000502:physiology*; D001795:Blood Pressure Determination; D003924:Diabetes Mellitus, Type 2 / Q000401:mortality / Q000503:physiopathology*; D003925:Diabetic Angiopathies / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D012016:Reference Values