Diabetes Care. 1987 Nov-Dec;10(6):764-76. doi: 10.2337/diacare.10.6.764.
Hypertension and diabetes mellitus are commonly associated. Hypertension contributes substantially to morbidity and mortality in the diabetic population. This report was prepared as a practical guide for the management of hypertension in diabetic patients. Although treatment of hypertension in most diabetic patients does not differ from that in nondiabetic patients, this report outlines some special considerations relevant to the presence of both diseases. For both hypertension and diabetes, basic nonpharmacologic therapy consists of dietary alterations, exercise, weight management, smoking cessation, and restricted alcohol intake. These measures should be instituted as initial therapy or concomitant with pharmacologic measures. The stepped-care approach to drug treatment in essential hypertension serves as a guide to therapy. Flexibility in the use of antihypertensive drugs is suggested, and selected practical issues in drug treatment are reviewed.
高血压与糖尿病常常并存。高血压在很大程度上导致了糖尿病患者的发病率和死亡率。本报告旨在为糖尿病患者的高血压管理提供实用指南。尽管大多数糖尿病患者的高血压治疗与非糖尿病患者并无不同，但本报告概述了与两种疾病并存相关的一些特殊考量。对于高血压和糖尿病，基本的非药物治疗包括饮食调整、运动、体重管理、戒烟以及限制酒精摄入。这些措施应作为初始治疗或与药物治疗同时进行。原发性高血压的阶梯式药物治疗方法可作为治疗指南。建议在使用抗高血压药物时保持灵活性，并对药物治疗中一些实际问题进行了综述。
