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Chapter-092 Management of Hypertension in Diabetes: Special Consideration

BOOK TITLE: Cardiodiabetes Update: A Textbook of Cardiology

Author
1. Wander GS
2. Mittal Naveen
3. Vinayak Rohin
ISBN
9789352703043
DOI
10.5005/jp/books/14130_93
Edition
1/e
Publishing Year
2018
Pages
4
Author Affiliations
1. API; Hero DMC Heart Institute, Unit of DMC and Hospital, Ludhiana, Punjab, India, Dayanand Medical College and Hospital, Punjab, India, API–2017; Hero DMC Heart Institute; Unit of DMC and Hospital; Ludhiana, Punjab, India, Hero DMC Heart Institute Dayanand Medical College and Hospital Ludhiana, Punjab, India, API, Hero DMC Heart Institute, Dayanand Medical College and Hospital Ludhiana, Punjab, India; API, Hero DMC Heart Institute, Dayanand Medical College and Hospital, Ludhiana, Punjab, India; API, Hero DMC Heart Institute, Dayanand Medical College and Hospital, Ludhiana, Punjab, India, Dayanand Medical College and Hospital, Unit Hero DMC Heart Institute, Ludhiana, Punjab, India, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
2. Dayanand Medical College and Hospital, Ludhiana, Punjab, India
3. Dayanand Medical College and Hospital, Ludhiana, Punjab, India
Chapter keywords
Hypertension, body mass index, BMI, macrovascular, microvascular, American diabetes association, ADA, calcium channel blocker, CCB, renin-angiotensin system, RAS

Abstract

Hypertension, defined as a sustained blood pressure greater than or equal to 140/90 mm Hg, is a common comorbidity of type 1 and type 2 diabetes. The prevalence of hypertension depends on the type of diabetes, age, sex, body mass index (BMI), and race/ethnicity. Hypertension is a major risk factor for both macrovascular and microvascular complications. Hypertension care is guided by recommendations from professional bodies, which collate evidence and propose rational means of assessing and managing high blood pressure. This chapter utilizes the evidence-based recommendations of the American Diabetes Association’s (ADA) Standards of Medical Care in Diabetes 2017, the European Society of Hypertension/European Society of Cardiology (ESH/ESC) 2013, and the panel members of the Eighth Joint National Committee (JNC8).

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