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Blood Pressure Reaching the Standard

If the blood pressure is not well controlled, all kinds of diabetic complications will occur. So diabetics must control the blood pressure to reach the standard.

What is the criteria of blood pressure reaching the standard? Criteria is formulated in accordance with the age of diabetes patients: diabetes patients younger than 60 years of age, the BP (blood pressure) is asked to be controlled less than 130/80 mmHg; diabetes patients older than 60 years old, their blood pressure levels are often prone to high, the criteria of blood pressure can be relaxed but not over than 140/90 mmHg.

Target blood pressure for Diabetes:

But for some older people with diabetes, SBP (Systolic blood pressure) is advancing to ever-higher level with the increasing age, DBP (diastolic blood pressure) is getting lower and lower, the difference between SBP and DBP gradually increased. For example, the SBP and DBP of a person is 150~160 mmHg and 60~70 mmHg, respectively, the DBP will be even lower to 40~50 mmHg when the SBP is decreased, which may result in dizziness and discomfort of the diabetes patient, and even falling over. With respect to this, for some elderly, when there is a great difference between SBP and DBP, the level of SBP is not force to be maintain under 140 mmHg, which can be controlled between 150~160 mmHg, but the DBP should be kept no more than 90 mmHg.

Diabetes and hypertension (high blood pressure) are considered to be the complication of each other, it is frequent that patients have both of the two diseases, which may significantly increase the risk of cardiovascular and cerebrovascular diseases and elevated death rate. Hypertension (high blood pressure) is not good for patients with diabetes, which will increase the risk of stroke, coronary heart disease, renal failure, blindness and amputation. So it is urgent to control blood pressure in patients with diabetes.

Diabetes Patients should pay attention to the following points when control blood pressure:

Should the patient lowering blood glucose or blood pressure first when the patient has diabetes and hypertension at the same time?

There is really no inconsistency between lowering blood pressure and blood glucose, which can be conducted and achieved at the same time. As for the selection of antihypertensive agents, combined treatment of two or three drugs is recommended.

Diabetes patients with hypertension should not only take into consideration of the antihypertensive effect, but also the protective effect on the heart, brain and renal during the course of antihypertensive agents selection. Microalbuminuria in urine is a sensitive indicator of early kidney disease, once there is microalbuminuria in urine in the process of routine examination of urine, antihypertensive agents of ARB or ACEI should be taken on the basis of lowering blood glucose whether there exist hypertension or not.

In summary, each diabetes patient should have knowledge of the risk of high blood pressure, strengthen the capability of blood pressure control, make rational management on their own conditions, monitoring of blood pressure should be placed in an important position by each diabetes patient.

See also:
item Monitoring of Five Items of Diabetes

item Blood Glucose
item How to Test Blood Glucose at Home
item Condition Monitoring of Diabete
item How often should blood glucose be measured?
item Different meanings in seven different time frames for blood glucose monitoring

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