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Hypertension in diabetes mellitus

Initial therapy choices for hypertension in diabetes mellitus usually include angiotensin-converting enzyme inhibitors or an angiotensin receptor blocker due to their well documented renoprotective effects. Currently, angiotensin receptor blockers have less robust data to support cardiovascular reduction compared to other therapeutic choices, yet the data that exists appears to be positive in patients with type 2 DM. Also, diuretics have shown superior results to an ACE inhibitor in the ALLHAT trial. The ADA currently recommends the use of any class (ACE inhibitors, angiotensin receptor blockers, /3-blockers, diuretics, or calcium channel blockers) of antihypertensive medication that has shown benefit in prevention of poor cardiovascular outcomes. Choice of monotherapy may not be important, as an average of two to three antihypertensive medications are needed to reach blood pressure goals. [Pg.1362]


See other pages where Hypertension in diabetes mellitus is mentioned: [Pg.417]   
See also in sourсe #XX -- [ Pg.120 , Pg.125 , Pg.225 ]

See also in sourсe #XX -- [ Pg.120 , Pg.125 , Pg.225 ]

See also in sourсe #XX -- [ Pg.554 ]




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