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Table 2 BP goals in diabetics according to major guidelines
| Guidelines | NICE [54] | ESH/ESC [3, 4] | ASH/ISH [2] | JNC 8 [1] | ADA [6] | CHEP [7] | IDF [5] |
|---|---|---|---|---|---|---|---|
| Year published | 2011 | 2013 | 2014 | 2014 | 2016 | 2016 | 2012 |
| Blood pressure (mmHg) | Not addressed | <140/85 | <140/90 | <140/90 | <140/90 | <130/80 | <130/80 |
| Special considerations | Begin treatment if BP > 140/90 mmHg | Systolic BP < 130 mmHg and diastolic BP < 80 may be appropriate for certain individuals with diabetes, such as younger patients, those with albuminuria, and/or those with hypertension and one or more additional atherosclerotic CV disease risk factors, if they can be achieved without undue treatment burden. | <140/90 mmHg in patients 70-80 years old <150/90 mmHg in patients over 80 years old | ||||
| Recommended initial treatment | ACE inhibitor plus either a diuretic or a CCB | All classes of antihypertensive agents are recommended. RAAS blockers may be preferred, especially in the presence of proteinuria or microalbuminua | ARB or ACE inhibitor. In black patients, it is acceptable to start with a CCB or a thiazide. | Thiazide-type diuretic, CCB, ACE inhibitor or ARB | ACE inhibitor, ARB | ACE inhibitor, ARB in patients with CV or kidney disease, including microalbuminuria, or with CV risk factors | In patients without albuminuria, Thiazide-type diuretic, CCB, ACE inhibitor or ARB |
