Am Fam Physician. 2016 Jul 1;94(1):59a-60.
What is the appropriate antihypertensive treatment goal for patients with diabetes mellitus?
Although most recent practice guidelines have relaxed the blood pressure goals for patients with diabetes, there are still a few holdouts that suggest aggressive treatment. This analysis shows that the ideal range for hypertension control in patients with diabetes is between 140 and 150 mm Hg; higher or lower sustained blood pressures increase mortality, the so-called J-curve. (Level of Evidence = 1a)
These researchers searched four databases, including the Cochrane Central library, identifying 49 studies enrolling 73,738 participants with (mostly type 2) diabetes who were treated
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