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[HTN order] dry goods! When hypertension encounters diabetes, how does this medicine take?

Issuing time:2020-10-24 11:32

24.3% of outpatients with hypertension in my country have diabetes.


Hypertension and diabetes are both risk factors for atherosclerotic cardiovascular disease. When the two are entangled with each other, the treatment must be particular.


Let us take a look at it!


Zhang San

伴有糖尿病的高血压患者,降压目标和普通高血压患者一样吗?


A:

Different. For hypertensive patients without diabetes, the blood pressure reduction target is 140/90 mmHg or less, but if diabetes is combined, the blood pressure reduction target should be adjusted to 130/80 mmHg or less, and the blood pressure reduction target for the elderly or those with coronary heart disease. Can be relaxed to 140/90 mmHg.


For every 10 mmHg decrease in systolic blood pressure in patients with diabetes and hypertension, the risk of any diabetes-related complications decreases by 12%, and the risk of death decreases by 15%. It can be said that the risk of diabetes leading to hypertension is very high. Therefore, it is necessary for patients with hypertension and diabetes. Keep blood pressure lower and better.



Li Si

我是糖尿病患者,血压比正常值稍微有些偏高,需要立即吃药降压吗?


A:

Under normal circumstances, the systolic blood pressure is in the range of 130~139 mmHg, and the diastolic blood pressure is in the range of 80~89 mmHg. Drug treatment can be temporarily omitted, and non-drug treatment can be performed for no more than 3 months. You can try to improve it first Lifestyle, such as proper exercise, and avoid overly greasy, overly spicy, and overly salty foods. If the blood pressure still fails to reach the target, medication should be used.


If one of the following two conditions exists at the same time, medication should be used immediately.


(1) Blood pressure is above 140/90 mmHg


(2) With microalbuminuria



Wang Wu

高血压合并糖尿病患者,降压药吃什么,怎么吃?



Answer: First consider using ACEI or ARB antihypertensive drugs. These two types of drugs not only have obvious antihypertensive effects, have no adverse effects on sugar and fat metabolism, but also have protective effects on important organs such as heart, brain, and kidney.


Correctly understand the complications of hypertension, use medications correctly, and achieve early treatment of existing diseases and prevention before they occur.


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