How much should the blood pressure of diabetic patients be controlled? This is a question that diabetic patients are concerned about and must pay attention to. First, let’s look at the blood pressure control goals for diabetic patients:
Ideal blood pressure for diabetic patients: less than 120/80mmHg
Blood pressure control goal for diabetic patients: less than 130/80mmHg
If the blood pressure is higher than this standard, diabetic patients should promptly take antihypertensive medication under the guidance of a doctor. Many diabetic patients may ask, why is this lower than the diagnostic standard of 140/90mmHg for hypertension? This is determined by the mechanism of diabetic complications and what diabetic patients must achieve, especially as diabetic patients age, the requirements for blood pressure control become stricter for the following reasons:
We know that diabetes is the source of many diseases, it can cause pathological changes in various tissues and organs throughout the body, as it directly damages blood vessels, and blood vessels are present throughout the body. Prolonged high blood sugar or fluctuating blood sugar can damage the vascular endothelium, allowing lipid substances in the blood to deposit in these damaged areas, causing atherosclerosis in the blood vessels.
Blood vessel walls affected by atherosclerosis thicken, elasticity decreases, and fragility increases. On one hand, the narrowing of the vessel lumen obstructs blood flow, reducing the delivery of oxygen and nutrients, leading to ischemic and embolic diseases. On the other hand, blood vessels are prone to rupture, causing hemorrhagic diseases.
Simultaneously, the affected blood vessels cause a decrease in vascular contractility, resulting in increased blood pressure. Thus, the increase in blood pressure in diabetic patients can to some extent reflect the occurrence of diabetic complications, which is also why diabetic patients are more prone to develop hypertension.
What cannot be overlooked is that if the blood pressure of diabetic patients rises, it will in turn exacerbate damage to the vascular endothelium, accelerate the occurrence and progression of vascular atherosclerosis, and thus expedite the onset of various complications.
Therefore, for diabetic patients, controlling blood pressure cannot be ignored, and it cannot be required based on the hypertension diagnostic standards for normal individuals. Remember, blood pressure must be kept below 130/80mmHg at least.
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