2008 Clinical Practice Guidelines - Canadian Diabetes Association

Treatment of Hypertension
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee
The initial draft of this chapter was prepared by Bruce Culleton MD FRCPC,
Denis Drouin MD FRCPC, Pierre LaRochelle MD PhD FRCPC, Lawrence A. Leiter MD FRCPC FACP,
Philip McFarlane MD FRCPC and Sheldon Tobe MD FRCPC
KEY MESSAGES
• In the prevention of diabetes-related complications, vascular
protection (using a multifaceted, comprehensive
approach to risk reduction) is the first priority, followed
by control of hypertension in those whose blood pressure
(BP) levels remain above target, then nephroprotection
for those with proteinuria despite the above
measures.
• People with diabetes and elevated BP should be aggressively
treated to achieve a target BP of