Heart Podcast Blood pressure management in type 2 diabetes: a review of recent evidence
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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.
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Diabetes and Blood Pressure
- High blood pressure and diabetes often occur together, increasing cardiovascular disease risk.
- Despite glucose management being important, cardiovascular disease remains the primary cause of death in individuals with diabetes.
Hypertension in Diabetes
- Hypertension is prevalent in individuals with type 2 diabetes, potentially due to shared risk factors like obesity.
- There's a possible causal link between hypertension and the development of type 2 diabetes.
Blood Pressure Lowering Efficacy
- Blood pressure lowering appears less effective in individuals with type 2 diabetes compared to those without.
- The reasons for this difference remain unclear and require further investigation.