Diabetes guidance 1766.pdf - East Cheshire NHS Trust
Diabetes guidance 1766.pdf - East Cheshire NHS Trust
Diabetes guidance 1766.pdf - East Cheshire NHS Trust
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HypertensionBP targets are the same for Type 1 and Type 2 diabetes. Always treat to the following targets:Uncomplicated hypertension ≤ 140/80(i.e. no end-organ damage)Hypertension with end-organ damage ≤ 130/80Note: Lower targets may be appropriate for people with more advanced renal disease, as advised byrenal physicians.Monitor the BP of people who have attained the recommended BP targets every 4-6 months, and check forpossible adverse effects of antihypertensive therapy, including the risks from unnecessarily low blood pressure.Tight BP control can significantly reduce the incidence of microvascular and macrovascular complications ofdiabetes (UKPDS)Outcome Relative risk reduction (tight Number Needed to Treat (NNT)vs conventional control) for tight BP control to prevent1 event over 10 yearsAny diabetes-related end-point 24% 6<strong>Diabetes</strong>-related deaths 32% 15Myocardial infarction 21% 20Stroke 44% 20Microvascular disease 37% 14Interventions to control BP• Lifestyle measures- Smoking cessation- Salt reduction to