Clinically, hypertension is one of the comorbidities of diabetes, both of which together harm the patient; combined with hypertension and diabetes mellitus, it will increase the risk of complications such as kidney disease, retina, cardiovascular and stroke, stroke; diabetic patients with very high blood sugar status , Often occurs orthostatic hypotension, circadian rhythm and other anomalies, so patients have higher requirements for blood pressure.
Diabetic patients have a blood pressure control goal of 140/90 mmHg, and control of blood pressure such as kidney failure, vascular disease, chronic airway disease and gout are more severe, and hypoglycemic and antihypertensive are important at this time. Especially for those who have already caused diabetic nephropathy, blood pressure control is not only the key to protecting the kidneys, but also a means of preventing the exacerbation of diabetic eye disease. Treatment of diabetes with hypertension to lower blood sugar and blood pressure at the same time, blood pressure should be generally controlled within 130 / 80mmHg, and for elderly patients with diabetes, blood pressure control can not be less than 130 / 70mmHg.
The general treatment of patients with diabetes at this time there are two main aspects:
medical treatement. Selective beta blockers: such as metoprolol, bisoprolol and so on. Diuretics: such as hydrochlorothiazide; "Sartan" drugs: ARB drugs such as losartan, valsartan, etc .; "Puli" drugs: ACEI drugs such as captopril, enalapril; Intermediate sartan and prophylactic antihypertensive drugs are the first choice for diabetic patients, mainly because of their significant effect, but also delay the progress and the occurrence, such as kidney disease.
Non-medical treatment. Avoid smoking and alcohol: Smoking caused by short-term high blood pressure, smoking cessation can effectively reduce the risk of cardiovascular disease; reasonable diet: pay attention to reducing salt intake, daily salt control within 3-5 grams, eat less fat content High food, pay attention to increase the intake of fruits and vegetables rich in potassium, magnesium, calcium, vitamins and other green vegetables; weight loss: many patients with early diabetes have varying degrees of excessive body weight, this time to physical exercise and diet therapy Make weight standards, it will not help to eliminate insulin resistance, thereby reducing blood pressure and improve glucose metabolism.
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