What Are Some Antihypertensive Medication For Type 2 Diabetes Patients?

What Are Some Antihypertensive Medication For Type 2 Diabetes Patients? 

There are many medications available to treat hypertension in type 2 diabetics. A physician can prescribe ACE inhibitors or ACEIs for the treatment of high blood pressure. Other treatment options include diuretics and calcium antagonists. Read on to learn more. The best medications are different for different types of patients, and there are also different dosages of each. A physician will be able to tell you which combination will work best for you. 

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ACE inhibitors 

Although the European Society of Cardiology has recommended ACE inhibitors for people with high blood pressure, most diabetes and heart societies only recommend them for patients with severe kidney damage or protein in the urine. Despite these recommendations, there are many questions surrounding the efficacy of ACE inhibitors in people with type 2 diabetes. For starters, is ACE inhibition more effective than calcium-channel blockers in this population? 

In one study, a combination of ACE inhibitors and long-acting Ca channel blockers were found to reduce systolic blood pressure more than a thiazide diuretic. However, this result did not translate into better outcomes for patients with type 2 diabetes. In a subgroup analysis of 12 063 patients, both ACE inhibitors and calcium-channel blockers showed better blood pressure control. Furthermore, both groups reduced the risk of cardiovascular disease. 

ACEIs 

ACEIs are antihypertensive medications used to lower blood pressure in patients with type 2 diabetes. They reduce blood pressure by reducing the number of blood pressure-related factors. However, they have some drawbacks. ACEIs are generally more expensive than diuretics, and they may worsen important metabolic variables. That is why it is important to choose the appropriate agent for each patient. 

The two different ACEIs work on the same receptor and affect blood sugar metabolism in different ways. They both block the angiotensin type I receptor and have different effects on the PPAR system. Blockage of the receptors may lead to vascular insulin resistance and impaired endothelial relaxation. However, studies have not shown that ABRs are more effective than ACEIs. 

Diuretics 

In patients with type 2 diabetes, diuretics are commonly used as first-line therapy to treat hypertension. They can also be used as a supplement to ACE inhibitors. Diuretics should be used with caution and should be prescribed with appropriate monitoring for glucose and electrolytes. They can increase the risk of hyponatremia and may worsen glycemic control. 

Both ACE inhibitors and diuretics have been shown to lower blood pressure, although both groups were borderline effective. Calcium-channel blockers are considered safer than diuretics in patients with type 2 diabetes. Calcium-channel blockers are also effective in lowering blood sugar. However, they have side effects and are not recommended for all patients. Therefore, patients should consult their doctor before taking either treatment. 

Calcium antagonists 

ACE inhibitors and calcium antagonists are the two most widely used hypertension medicines for patients with diabetes. These drugs are as effective as conventional therapy in patients with diabetes. Diabetic patients also require several medications for optimal blood pressure control. Several studies have demonstrated that calcium channel antagonists improve cardiovascular outcomes in diabetic patients. They are used as a single agent or in combination with other drugs. 

One study involving 101 diabetic patients found that patients who used calcium antagonists had better control of their blood pressure than those who did not take the medications. Researchers found that more than 60% of patients with hypertension were unable to control their blood pressure even with a single drug. However, more research is needed to better understand how these agents affect patients with diabetes. Calcium antagonists are an excellent choice for type 2 diabetes patients.