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Optimal BP in Type 2 Diabetes and Kidney Disease

Jul 1, 2017

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?


B.  130/80 mm Hg

Explanation:  Based on data from goal BP trials in patients with type 2 diabetes 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.


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