For Professionals

Learn more about

hypertension in
people with diabetes.

Treating Hypertension in People with Diabetes

Lifestyle Intervention
For people with blood pressure >120/80 mmHg,
counsel people with diabetes on:

What is the
on-treatment target
Weight loss Moderation Increased
for blood pressure? Consider Dietary of alcohol physical
Approaches to Stop intake activity
<130/80 mmHg if it Hypertension (DASH) diet to
reduce sodium and increase
can be safely attained potassium intake.

Pharmacologic Interventions

Recommendations for the Treatment Assess BP Control and Assess BP Control and
Start one drug:
of Confirmed Hypertension in ACEi or ARB, Adverse Effects Adverse Effects
People with Diabetes No CCB,
diuretic Treatment tolerated and Treatment tolerated and
target achieved target achieved
Start Albuminuria
Initial BP one agent Continue therapy Continue therapy
or CAD
°130/80 and Start:
<160/100 mmHg ACEi or ARB Not meeting target
Yes
Add agent from Not meeting target
Lifestyle on two agents
management complimentary drug class:
Start drug from ACEi or ARB,
No 2 of 3 options: CCB,
ACEi or ARB, Not meeting target or adverse
Initial BP diuretic Adverse
CCB, effects using a drug from each
°160/100 mmHg Start Albuminuria effects
diuretic of three classes
two agents or CAD Adverse effects
Consider addition of
from the ADA’s Standards of Care in Diabetes—2023

Start: Consider change to

mineralocorticoid receptor
Yes ACEi or ARB, alternative medication:
This infographic is based on recommendations

antagonist; refer to
and ACEi or ARB,
specialist with expertise
CCB or diuretic CCB,
in BP management
diuretic

BP = Blood pressure ACEi = Angiotensin-converting enzyme inhibitor CCB = Calcium channel blockers
CAD = Coronary artery disease ARB = Angiotensin II receptor blockers

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