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The Question
04/19/09 07:40 PM

"What is the safe lowest pressure you can have with hypertension,mild damage to kidney,diabetes type 2 and glaucoma?"
Asked By:  
Category: Kidney Disease

Background Info Hide
Diabetes type2 in control(A1c 5.8%),glaucoma ,high blood pressure ,neuropathy, mild decrease in renal function(GFR 53)

Expert Answers (1)

08/31/09 07:50 PM

Hello,

Thanks for bringing your question to dLife.

Although the general recommendation is to lower the blood pressure of patients with diabetes to <130/80 mm Hg. A large study support the concept of even lower blood pressures levels -- less than 125/75 mm Hg for people who have proteinuria of greater than 1 g per day and renal insufficiency.

Some studies have suggested that certain groups of diabetic patients -- like those with preexisting kidney problems -- benefit most from blood pressures less than 120/80. Data has shown that the risk of cardiovascular problems and further kidney damage approach their lowest measurable values within this range.

Talk with your doctor about establishing a target blood pressure level that you could safely achieve.

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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