Goals vary for blood pressure levels in the general hypertensive population, besides there are possible risks of excessive blood pressure lowering.
Among patients with type 1 diabetes, the incidence of hypertension rises from 5 percent at 10 years’ duration, to 33 percent at 20 years, and 70 percent at 40 years. The blood pressure typically begins to rise within the normal range at or within a few years after the onset of moderately increased albuminuria (formerly called “microalbuminuria”) and increases progressively as the renal disease progresses.
In addition to the degree of blood pressure elevation, the magnitude of absolute benefit from antihypertensive therapy depends upon the presence or absence of other cardiovascular risk factors and, therefore, the overall cardiovascular risk. Patients with higher baseline cardiovascular risk derive greater absolute benefit from blood pressure lowering (ie, the number needed to treat to prevent one cardiovascular event is smaller than in patients with low baseline cardiovascular risk).
It is important to keep in mind that there is a meaningful difference between goal blood pressure and achieved blood pressure. Many trials have demonstrated that lower achieved blood pressure is associated with superior outcomes.
Making changes in what you eat can help to control high blood pressure.
- Reduce sodium (salt)
- Reduce alcohol
- Eat more fruits and vegetables
- Eat more fiber
- Eat more fish
- Caffeine – Consume moderately
- Dietary Approaches to Stop Hypertension (DASH) eating plan. The DASH eating plan combines many of the interventions noted above. It is high in fruits and vegetables, low-fat dairy, and fiber.
Wish it helps.