Blood pressure is an important determinant of kidney disease among patients with diabetes. Previously the recommended thresholds to initiate treatment to lower BP are 130/80 and 125/75mmHg for people with diabetes and nephropathy, respectively.
The previously reported ONTARGET study showed that lower is not necessarily better when it comes to blood pressure in this patient population, with coronary heart disease or diabetes plus additional risk factors. Although there was evidence that lower was better in terms of stroke, there was a suggestion of harm when BP was reduced below 130mmHg systolic for the outcome of cardiovascular death in diabetics.
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Tags: Diabetes
