Management of Hypertension in Diabetic Patients With Chronic Kidney Disease
- Susan Steigerwalt, MD, FACP
Abstract
In Brief
Diabetes is associated with markedly increased cardiovascular risk, a risk compounded with imposition of chronic kidney disease (CKD). More than 80% of people with diabetes and CKD have hypertension, and many have an obliterated nocturnal blood pressure “dip,” the normal physiological drop in blood pressure during sleep. Appropriate blood pressure measurement is the Achilles heel of hypertension management, especially in diabetic kidney disease (DKD). This review elaborates on the evidence regarding one of the most important therapeutic targets in DKD, namely, control of blood pressure to < 130/80 mmHg, and provides detailed information about appropriate blood pressure measurement and treatments to best achieve that target.
Footnotes
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Susan Steigerwalt, MD, FACP, is director of the Hypertension Clinic of the Division of Nephrology and Hypertension at St. John Hospital and Medical Center in Detroit, Mich.
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Note of Disclosure: Dr. Steigerwalt has received research support from Novartis and honoraria for speaking engagements from Novaris, Boehringer-Ingelheim, GlaxoSmithKline, and Sanofi-Aventis. She is a consultant for HomeMedics. These companies make pharmaceutical products or monitoring devices for the treatment of hypertension.
- American Diabetes Association
