A new study published in Hypertension, the journal of the American Heart Association, suggests that more intensive blood pressure control is better for people with type 2 diabetes.
Professional guidelines on blood pressure goals in diabetes differ: The American Diabetes Association suggests a goal of 140/90 or, for people at high risk, 130/80 provided it doesn’t cause an “undue treatment burden,” while the a href=”https://www.heart.org/en/news/2019/04/29/study-backs-lower-blood-pressure-guidelines-for-people-with-diabetes” rel=”noopener” target=”_blank”>American Heart Association and American College of Cardiology recommend a goal of 130/80.
The new study evaluated roughly 11,000 people with type 2 diabetes in 20 countries over four years, finding that those who received the blood pressure drugs perindopril and indapamide to keep their blood pressure levels at or below 130/80 had fewer heart attacks, strokes and other complications than those receiving placebo (inactive treatment). They also had a “lower overall risk of dying from any cause.”
“Our findings demonstrate a benefit of more intensive therapy aiming for blood pressure thresholds at 130/80 or below and should help resolve some ongoing confusion over optimal blood pressure targets for people with diabetes,” said senior study investigator J. Bill McEvoy, MB, BCH, MHS.
Want to learn more about diabetes and blood pressure? Read “High Blood Pressure and Diabetes” and “Seven Little-Known Steps for Lowering Your Blood Pressure.”