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{"id":14496,"date":"2020-07-12T18:17:35","date_gmt":"2020-07-12T18:17:35","guid":{"rendered":"https:\/\/nursingwritershelp.com\/?p=14496"},"modified":"2020-07-12T18:17:35","modified_gmt":"2020-07-12T18:17:35","slug":"hypertension-and-diabetes","status":"publish","type":"post","link":"https:\/\/nursingwritershelp.com\/hypertension-and-diabetes\/","title":{"rendered":"Hypertension And Diabetes"},"content":{"rendered":"L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5\u20324\u2033 and has always been on the large side, with her weight fluctuating between 165 and 185 lb.<\/p>\n
Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.<\/p>\n
Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160\/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.<\/p>\n
One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg\/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154\/86 mmHg and a pulse of 78 bpm.<\/p>\n
Questions<\/p>\n
What are the effects of controlling BP in people with diabetes?<\/p>\n
What is the target BP for patients with diabetes and hypertension?<\/p>\n
Which antihypertensive agents are recommended for patients with diabetes?<\/p>\n \n