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| Topic: |
diabetes (dm) |
| Title: |
Management of Hypertension in Diabetic Patients With Chronic Kidney Disease. |
| Author: |
Steigerwalt, S. |
| Source: |
Diabetes Spectrum. 21(1): 30-36. Winter 2008. |
| Abstract: |
Diabetes is associated with markedly increased cardiovascular risk, a risk that is made worse by the presence of chronic kidney disease (CKD), a common complication of diabetes. More than 80 percent of people with diabetes and CKD have hypertension. This review from a special section on managing patients with diabetes and CKD, called diabetic kidney disease (DKD), discusses the evidence regarding one of the most important treatment targets for these patients, namely, control of blood pressure to less than 130/80 millimeters of mercury (mmHg). The author provides detailed information about appropriate blood pressure measurement and treatments to best achieve that target. Careful blood pressure measurement, a multiple risk factor modification strategy, and persistent and judicious renin-angiotensin-aldosterone system (RAAS) blockade in combination with diuretics and add-ons should result in good blood pressure control in a majority of patients. In addition, engaging patients and their families through home-based blood pressure measurement (HBP), lifestyle modification, and collaboration with clinic nurses, pharmacists, and other health care providers will facilitate success. 2 tables. 57 references. |
| Format: |
Journal Article |
| Language: |
English. |
| Major Keywords: |
Diabetes Mellitus. Chronic Kidney Disease. Diabetic Nephropathy. Complications. Hypertension. Patient Care Management. Antihypertensives. |
| Minor Keywords: |
Physiology. Blood Pressure. Risk Factors. Monitoring. Self Care. Drug Therapy. Patient Education. Lifestyle. Renin-Angiotensin System. |
| Publication Number: |
DMJA13354 |
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