Blood Pressure Target 140-150 Systolic for Diabetics

Blood pressure goal of 140-150 mmHg best for patients with diabetes
Clinical Question:
What is the appropriate antihypertensive treatment goal
for patients with diabetes?

Bottom Line:
Although most recent practice guidelines have relaxed the blood pressure goals for patients with diabetes, there are a still a few holdouts that suggest aggressive
treatment. This analysis shows that the sweet spot for hypertension control
in patients with diabetes is between 140 mmHg and 150 mmHg; higher or lower
sustained blood pressures increase mortality, the so-called J-curve. (LOE =

Brunstrom M, Carlberg B. Effect of antihypertensive
treatment at different blood pressure levels in patients with diabetes

mellitus: systematic review and meta-analyses. BMJ 2016;352:i717.

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