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Managing diabetes and high blood pressure together

Answered byDr. Pavan Kumar UppulaMBBS, MD (General Medicine), DM (Endocrinology)
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Patient's Query

39 years oldfemale
Doctor, I’ve been diagnosed with both diabetes and high blood pressure, and it feels like a lot to juggle. Between checking blood sugar, taking medications, and watching my diet, I’m worried about doing everything right. How can I best manage both conditions without feeling overwhelmed? Also, is it okay if my blood pressure runs a little high sometimes, or should I aim for strict control?

Doctor Answers

Dr. Pavan Kumar Uppula
Endocrinologist

You're definitely not alone in feeling that way - managing both diabetes and high blood pressure can feel like a lot, but it’s really important to keep both under control because they increase the risk of serious complications when they’re unmanaged.

Here’s what I usually recommend:

  • Stick to your prescribed medications consistently for both blood sugar and blood pressure. They work best when taken regularly.

  • Focus on lifestyle changes that help both conditions: try to eat a lower-sodium diet, get regular exercise (like brisk walking), and work towards a healthy weight if you can. These steps make a big difference.

  • Keep an eye on your blood pressure at home. Monitoring it helps catch any patterns early, so you and your doctor can adjust treatment if needed.

  • We often use medications like ACE inhibitors or ARBs because they lower blood pressure and also protect the kidneys — which is especially important when you have diabetes.

As for "slightly high" blood pressure - even small increases can add to your risk over time. Generally, we aim for less than 130/80 mmHg in people with diabetes. But your exact target might be a little different based on your overall health, so it’s always best to confirm with your doctor.

The good news is, with a clear plan and some regular habits, you can absolutely manage both conditions well. Make sure to work closely with your doctor to create a routine that feels manageable for you.

References:

  1. UK Prospective Diabetes Study Group. (1998). Tight blood pressure control and diabetes complications. British Medical Journal (BMJ), 317(7160), 703–713.
  2. American Diabetes Association. (2023). Cardiovascular Disease and Risk Management. Diabetes Care, 46(Suppl 1), S158–S190.
  3. Whelton, P. K., Carey, R. M., Aronow, W. S., et al. (2018). ACC/AHA Hypertension Guidelines. Hypertension, 71(6), e13–e115.
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Disclaimer: The information provided in this Q&A is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized medical guidance and treatment recommendations.

Managing diabetes and high blood pressure together