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Special considerations
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Begin treatment if BP > 140/90 mmHg
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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.
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<140/90 mmHg in patients 70-80 years old <150/90 mmHg in patients over 80 years old
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Recommended initial treatment
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ACE inhibitor plus either a diuretic or a CCB
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All classes of antihypertensive agents are recommended. RAAS blockers may be preferred, especially in the presence of proteinuria or microalbuminua
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ARB or ACE inhibitor. In black patients, it is acceptable to start with a CCB or a thiazide.
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Thiazide-type diuretic, CCB, ACE inhibitor or ARB
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ACE inhibitor, ARB
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ACE inhibitor, ARB in patients with CV or kidney disease, including microalbuminuria, or with CV risk factors
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In patients without albuminuria, Thiazide-type diuretic, CCB, ACE inhibitor or ARB
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