Hypertension

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Dina - 09 Aug 2006 18:28 GMT

I need help help me with what are the optimal drug therapy/good
combination and how many agents, for uncontrolled hypertension,
especially if the patient also has diabetes and is on insulin therapy.

Thanks

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noone - 09 Aug 2006 19:29 GMT

> I need help help me with what are the optimal drug therapy/good
> combination and how many agents, for uncontrolled hypertension,
> especially if the patient also has diabetes and is on insulin therapy.
>
> Thanks

You can view the ADA's guidelines here:
http://www.guideline.gov/summary/summary.aspx?doc_id=8621.

In summary, it suggests an ACE inhibitor or ARB first, adding a thiazide
diuretic, then beta-blocker, and/or calcium channel blocker if needed.

Optimal therapy depends upon individual patient response to the meds, as
well as other patient-specific details/comorbidities.

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