Magazine article Clinical Psychiatry News

Cutting BP, Not Sugar Levels, Lowers CV Risks in Diabetes

Magazine article Clinical Psychiatry News

Cutting BP, Not Sugar Levels, Lowers CV Risks in Diabetes

Article excerpt

PHILADELPHIA -- Lowering blood pressure might be more effective than lowering blood sugar alone for reducing the risk of cardiovascular events in type 2 diabetes patients, according to the director of the coronary care unit at Boston Medical Center.

Reducing blood pressure in patients with type 2 diabetes can result in "profound" reductions in the risk of cardiovascular events, Dr. George J. Philippides said at Endocrinology in the News sponsored by Boston University, INTERNAL MEDICINE NEWS, and FAMILY PRACTICE NEWS.

For example, in the U.K. Prospective Diabetes Study, patients who achieved right control of their blood pressure (mean blood pressure of 144/82 mm Hg) lowered their risk of stroke by 44%, compared with the group of patients with a mean blood pressure of 154/87 mm Hg. The group with tight blood pressure control also had a 34% risk reduction for macrovascular diseases, compared with the group with less tight control (BMJ 1998; 317: 703-13).

By comparison, the evidence is less clear about whether achieving tight glycemic control alone will lower the risk of cardiovascular events, Dr. Philippides said. Physicians should lower sugar levels for other reasons, such as the microvascular benefits, but the evi-dence so far fails to show that doing so lowers the risk for myocardial infarction, for example, he said. …

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