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Modifiable Risk Behavior:

Overweight & Obesity

High Blood Glucose

High Blood Pressure

Abnormal Lipid Metabolism

Inflammation & Hypercoagulation

Physical Inactivity

Smoking

High Blood Pressure

Hypertension

Hypertension leads to elevated risk for myocardial infarction, stroke, eye problems and kidney disease. Often a silent disease, many patients won't know they have high blood pressure until informed by their health care provider.

For patients without diabetes:

  • Blood Pressure should be measured at each regular visit or at least once every 2 years if it is less than 120/80 mmHg
  • Blood Pressure should be measured  while seated after 5 min rest in office

For patients with diabetes:

  • Blood Pressure should be measured at each regular visit
  • Blood Pressure should be measured while seated after 5 min rest in office
  • Patients with ;::1 30 or ;;:80 mmHg should have Blood Pressure confirmed on a separate day

Clinical Intervention:

DASH (Dietary Approaches to Stop Hypertension) diet

High in whole grains, fruits, vegetables, and low-fat dairy

Low in saturated and trans fat, cholesterol

Physical Activity

Weight loss, if applicable

If Blood Pressure ;::140/ ;;:90 mm Hg, drug therapy is indicated

  • Combination therapy often necessary
  • Treatment should include ACE or ARB
  • Thiazide diuretic may be added to reach goals
  • Monitor renal function and serum potassium

Related Research:


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