What is the blood pressure goal for diabetic patients?

What is the blood pressure goal for diabetic patients?

Background— Most guidelines for treatment of hypertension recommend a blood pressure (BP) goal of <140/90 mm Hg, and a more aggressive goal of <130/80 mm Hg for patients with diabetes mellitus.

What is low blood pressure for diabetics?

Low blood pressure, defined An “ideal” blood pressure reading is under 120/80 mmHg. For most people who have diabetes, the goal is less than 140/90 mmHg.

What is the blood pressure goal?

Treatment Goals A target BP of less than 130/80 mm Hg is recommended for adults with confirmed hypertension and CVD or a 10-year atherosclerotic CVD risk of 10% or more. A target of less than 130/80 mm Hg may be reasonable for adults with confirmed hypertension but no additional markers of increased CVD risk.

Is low blood pressure related to diabetes?

Parathyroid disease, adrenal insufficiency (Addison’s disease), low blood sugar (hypoglycemia) and, in some cases, diabetes can trigger low blood pressure.

Is low blood pressure linked with diabetes?

Diabetic neuropathy: People who have diabetes may experience postural hypotension, or low blood pressure occurring when going from sitting or lying down to standing up. This may happen due to a type of nerve damage called autonomic neuropathy.

What is BP threshold?

Abstract. Most guidelines have recommended lower home blood pressure (BP) threshold when clinic BP threshold of 140/90 mm Hg is used for diagnosis of hypertension. However, home BP thresholds to define hypertension have never been determined in the general population in the United States.

What are blood pressure guidelines?

Blood pressure categories in the new guideline are:

• Normal: Less than 120/80 mm Hg;
• Elevated: Top number (systolic) between 120-129 and bottom number (diastolic) less than 80;
• Stage 1: Systolic between 130-139 or diastolic between 80-89;
• Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;

What is the blood pressure goal for JNC 8?

While JNC 8 suggests treating patients with both diabetes and hypertension to a blood pres- sure goal <140/90 mmHg, ADA standards of care advise treat- ing to a goal of <140/80 mmHg. The ADA also states that a lower blood pressure goal of <130/80 mmHg may be reason- able in younger patients if it does not increase treatment bur- den.

Why are the JNC 8 guidelines so important?

The JNC 8 guidelines move away from the assumption that lower blood pressure levels will improve outcomes regardless of the type of agent used to achieve the lower level. Instead, the JNC 8 guidelines encourage use of agents with the best evidence of reducing cardiovascular risk.

When to start diuretics for JNC 8 hypertension?

Under JNC 8, in all cases, goal blood pressure targets should be reached within a month of starting treatment either by increasing the dose of an initial drug or by using a combination of medications. Like the JNC 7 panel, the JNC 8 panel recommended thiazide-type diuretics as initial therapy for most patients.

What is the systolic threshold for JNC 8?

•JNC 8 raises the systolic threshold to 150 mmHg at age 60. •JNC 8 uses 140/90 for patients with diabetes or chronic kidney disease. •In JNC 8, the initial drug choice is broadened to four classes for nonblack patients and two classes for black patients. β- blockers are no longer recommended for initial therapy because of less stroke protection.