Thank you for asking on HCM.
I really understand your concern.
The optimal values of blood pressure for a person with
diabetes are
Here are my recommendations for hypertension:
1. Diet alone will only make the lowest incremental change in BP; therefore, it should be combined with lifestyle modification and lower sodium intake; stop
smoking,
weight loss, and exercise are essential.
2. It is essential for the patient/family to read labels for sodium, fat content, and serving sizes.
3. Other dietary changes include low-fat/lowcholesterol diets and limiting fats.
a. Use monounsaturated fats to decrease cholesterol.
i. Canola oil
ii. Olive oil
b. Use in limited quantities: Polyunsaturated fats decrease cholesterol but not as well as monounsaturated.
i. Vegetable and fish oils
ii.
Corn, safflower, peanut, and soybean oils
If lifestyle changes alone are not adequate to control HTN, consider drug therapy. Medication doses are dependent on age, ethnicity, and comorbid conditions. Most patients will require two or more medications to control
their BP.
In patients with diabetes, the drug of choice for treating hypertension are
ACEI or ARB drug class to improve
kidney outcomes (usually
Enalapril or
Losartan). Also depending on your blood pressure reading one or two drug combination may be used. You should talk about that with your doctor.
I tried my best to help you.
Wish you all the best.
Kindly rate my answer as helpful.
Dr. Elton