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Type 2 Diabetes Management Guidelines

Management of hypertension

  • Systolic BP < 130 mmHg and diastolic BP < 80 mmHg if known microvascular or macrovascular complications and/or 5 year CVD risk > 15%
  • Systolic BP < 140 mmHg and diastolic BP < 90 mmHg if no microvascular or macrovascular complications and 5 year CVD risk < 5%.
  • Consider systolic BP < 130 mmHg and diastolic BP < 80 mmHg if 5 year CVD risk 5-15%.
  • Consider systolic BP < 125 mmHg and diastolic BP < 75 mmHg in young patients with diabetic microvascular or macrovascular complications
  • Targets may need to be relaxed if hypotension problematic such as in the elderly or those with diabetic autonomic neuropathy