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Optimal BP in Type 2 Diabetes and Kidney Disease

A 62-year-old man presents with type 2 diabetes, hypertension, and albuminuria. His seated BP is 162/104 mm Hg. What's an ideal blood pressure target for this patient?

Correct

Answer: B. 130/80 mm Hg

Explanation:  Based on data from goal BP trials in diabetes patients and recommendations from the National Kidney Foundation and the American Diabetes Association, 130/80 mm Hg is an ideal BP target in patients with concomitant type 2 diabetes, hypertension, and chronic kidney disease, as well as in patients at high cardiovascular risk.

Sources:

Xie X, et al. Lancet. 2016;387(10017):435-443.L  KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease. http://www2.kidney.org/professionals/kdoqi/guideline_diabetes/guide3.htm.

National Kidney Foundation. Accessed March 3, 2017. ; ADA. Diabetes Care. 2017;40(Suppl 1):S1-S2.

QuantiaMD presentation: Managing Hypertension in Type 2 Diabetes; http://quantiamd.com/player/yjpfvbfku?cid=10000077

Incorrect