DIABETES MELLITUS-HTN MANAGEMENT

SUMMARY

American Diabetes Association Standards of Care 2019 for HTN management:
1. General goal <140/90mmHg
2. Lower in some patients particularly younger or albuminuria if achievable without significant burden 3. Lifestyle modification first ACE inhibitors or ARB generally first line drug , especially if albuminuria
4. May require multiple drug therapies but not combined ACE and A2RB (which can worsen renal function)

Reference(s)

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Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].