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Heart Podcast

Blood pressure management in type 2 diabetes: a review of recent evidence

Jan 14, 2025
Kazem Rahimi, a Professor of Cardiovascular Medicine at the University of Oxford, delves into the critical landscape of blood pressure management in type 2 diabetes. The conversation highlights the urgent need for updated guidelines due to the common overlap of hypertension and diabetes. They discuss the importance of lifestyle adjustments alongside pharmacological strategies, emphasizing ACE inhibitors and ARBs. Recent advancements, like SGLT2 inhibitors, are showcased for their cardiac and renal benefits, offering a fresh perspective on comprehensive diabetes care.
21:36

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Quick takeaways

  • Effective management of blood pressure is crucial alongside glucose control for improving health outcomes in patients with type 2 diabetes.
  • Recent studies indicate that adopting lower blood pressure targets around 120 mmHg may significantly reduce cardiovascular risks in diabetic individuals.

Deep dives

Importance of Blood Pressure Management in Diabetes

Elevated blood pressure significantly impacts individuals with type 2 diabetes, as many also suffer from hypertension, with prevalence rates reaching between 40-50%. This condition not only compounds the health risks associated with diabetes but is also a leading cause of cardiovascular disease, which is the primary cause of death in diabetic patients. Historically, much of the focus has been on glucose management; however, the evidence suggests that controlling blood pressure is equally, if not more, critical for improving patient outcomes. This dual focus on both blood pressure and glucose is essential for effective risk management and reducing mortality rates in this patient population.

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