title: Type 2 diabetes in older people; the importance of blood pressure control.
abstract: Diabetes and hypertension often coexist and their coexistence substantially promote cardiovascular disease (CVD) and chronic kidney disease. Control of blood pressure to a level of 140/90 mm Hg in people with diabetes can prevent or at least delay CVD and chronic kidney disease.. In the past many society treatment guidelines have stressed tight blood pressure control (=< 130/80) for people with diabetes. But recommendations for such tight blood pressure control have not been supported by recent large randomized control trials, especially in in elderly. Here we review the recent literature regarding the benefits of blood pressure control in elderly patients with diabetics. We further focus on evidence for specific levels of blood pressure treatment goals, in this population subset..
authors.affiliation: Department of Internal Medicine, Division of Hospital Medicine, School of Medicine, Univeristy of Missouri, One Hospital Drive, Coulumbia, MO 65212.
authors.forename: Ankur
authors.initials: A
authors.lastname: Jindal
authors.forename: Adam
authors.initials: A
authors.lastname: Whaley-Connell
authors.forename: James R
authors.initials: JR
authors.lastname: Sowers
keywords: Blood pressure control; Diabetes; Diabetes complications; Hypertension