ADA Issues New Position Statement to Manage Diabetes and Hypertension
With George L. Bakris, MD, Priyathama Vellanki, MD, and Mark E. Molitch, MD
For the first time in nearly 15 years, the American Diabetes Association (ADA) has updated its position statement on the screening and diagnosis of hypertension in patients with diabetes.1 The update to the existing guideline is of vital importance given that patients with diabetes often develop hypertension, and it is a strong risk factor for cardiovascular disease, heart failure, and microvascular complications.
The position statement is authored by nine leading diabetes experts on behalf of the ADA, including George L. Bakris, MD, professor of medicine and director of the ASH Comprehensive Hypertension Center at the University of Chicago Medicine. Dr. Bakris spoke with EndocrineWeb to offer his insight on key changes to the guidelines of particular interest to clinicians. The position statement was made available August 22 online and is scheduled to be published in the September 2017 issue of Diabetes Care. 1
"In terms of blood pressure goals, we did it in two tiers," Dr. Bakris told EndocrineWeb. "We said everyone should be below 140 over 90, regardless.'' Blood pressure should also be measured at every routine clinical care visit.
Furthermore, Dr. Bakris said there is an indication for reducing blood pressure below 130/80. "Most people should be urged to go to 130/80 [or below] because the cardiovascular risk in that subgroup of people is higher than the general population," he stated. "The level of evidence is not as strong, but it's reasonable." He cited the findings from the Action to Continue reading