htn in diabetes: more intensive control helps
A study was published after its presentation at the recent Am Heart Assn meeting finding that a lower BP goal was better for individuals with diabetes (see htn dm intensive BP control NEJM2024 in dropbox, or DOI: 10.1056/NEJMoa2412006) Details: -- 12,821 patients who were 50 years of age or older with type 2 diabetes, elevated systolic blood pressure (defined as SBP between 130-180 mmHg if on BP meds, or at least 140mmHg if not), and an increased risk of cardiovascular disease (defined as clinical cardiovascular disease at least 3 months before study entry, subcliical cardiovasc disease within 3 yrs of enrollment, 2 or more cardiovascular risk factors, and CKD with eGFR of 30-60), at 145 clinical sites across China from 2019-2022 -- patients were randomly assigned to receive intensive treatment that targeted a systolic blood pressure of less than 120 mmHg or standard treatment that targeted a systolic blood pressure of ...