Diabetes and blood pressure medications
There are many medications available to treat blood pressure. Unless
contraindicated because of other medical conditions, first line medications
recommended for high blood pressure in diabetics are either ACE Inhibitors or
ARBs. These medications, in addition to blood pressure treatment, have been
shown to help protect the kidneys from damage that can occur with diabetes.
Multiple medications may be needed to achieve the treatment goal of less than
130/80. There is a wide variety of medications available to treat high blood
pressure. If the target blood pressure is not achieved on three different drugs,
including a diuretic, a referral to a specialist in hypertension is recommended.
In patients who have had a recent heart attack, the use of beta-blockers is
often considered to reduce the risk of mortality. Beta-blockers can alter the
symptoms of low blood sugars, therefore people with diabetes who are treated
with beta-blockers should see a diabetes educator to learn how to prevent,
detect, and treat low blood sugars while on these medications.
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