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Diabetes Standards of Care & Clinical Practice Resources

Blood Pressure

Blood pressure control reduces the risk for diabetes complications, including cardiovascular disease and chronic kidney disease, and is essential in diabetes care.

Blood pressure measurement requires careful attention, periodic retraining, and properly calibrated and maintained equipment. There are many factors that can affect blood pressure readings, including: patient positioning, cuff size and placement, and recent caffeine and tobacco use.

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Clinical Practice Recommendations

Recommendations for Blood Pressure

Measurement

  • Measure blood pressure at diabetes diagnosis and at every visit.
    • Ambulatory/home monitoring may be considered to assist providers in assessing hypertension diagnosis and control.

Treatment Goal

  • Adults with diabetes and hypertension should be treated to a blood pressure goal of <140/90 mmHg.
    • Patients who are older and/or have significant comorbid conditions and cannot tolerate blood pressure <140/90 mmHg may require higher blood pressure targets to prevent adverse effects (e.g., hypotension, fatigue, dizziness).
  • For youth with diabetes, blood pressure goals vary by gender, age, and height. For further information, see Youth and Type 2 diabetes.

Treatment