Managing diabetes and high blood pressure together
Patient's Query
Doctor Answers
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:
- UK Prospective Diabetes Study Group. (1998). Tight blood pressure control and diabetes complications. British Medical Journal (BMJ), 317(7160), 703–713.
- American Diabetes Association. (2023). Cardiovascular Disease and Risk Management. Diabetes Care, 46(Suppl 1), S158–S190.
- Whelton, P. K., Carey, R. M., Aronow, W. S., et al. (2018). ACC/AHA Hypertension Guidelines. Hypertension, 71(6), e13–e115.
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.