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.
To test blood pressure constantly
Blood pressure should be tested over multiple time periods, such as before or after each meal, and before sleeping, etc.. Meanwhile, blood pressure test results should also be recorded in a timely manner, which can help to the understanding of the process of blood pressure changes in patients with diabetes.
The blood pressure of the limbs should also be tested
In reality, blood pressure of the upper arm are usually measured. Generally, blood pressure of the lower limb is relatively higher, besides, blood pressure of the diabetes patient should also be tested at the ankle to obtain the blood pressure values of the lower limbs. Once the blood pressure of the lower limbs is lower than that of the upper limbs (the difference over 20 mmHg), there may be a possibility of lower limb ischemia, which should be solved immediately.
To test blood pressure in supine and standing positions
The test of blood pressure in supine and standing positions can benefit the judgment of whether there is autonomic neuropathy or not. Upper arm blood pressure can be measured in diabetes patients keep their supine position and then in their standing position, the normal situation is that the blood pressure is slightly higher in diabetes patients keeping their standing position, or there is no difference between the value of blood pressure detected from diabetes patients in their supine or standing position. Immediate treatment should be adopted in case that the difference of blood pressure is over 20mmHg from diabetes patients in their supine or standing position.
To measure blood pressure regularly
Many diabetes patients have such a feature that they will not detect the blood pressure when they feel no abnormalities in the body, which is not advisable. Blood pressure should be detected constantly and regularly whether the blood pressure is stable or not. Diabetes patients with hypertension should at least test the blood pressure every week, diabetes patients with normal blood pressure should test every month. The best time for detection is seven or eight in the morning and seven or eight in the evening. Self-testing blood pressure is one of the most basic requirements for diabetes patients, which is beneficial for the discovery of blood pressure fluctuation in time. But self-testing blood pressure should be regularly, otherwise, the significance of blood pressure monitoring is lost.
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.
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