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Special considerations for effective blood pressure control in diabetes.

On the one hand, there is a steep rise in the incidence of both diabetes mellitus as well as hypertension. On the other hand, this phenomenon has led to significantly increased morbidity and mortality. The focus in the coming years, therefore, would be obviously on special considerations and special strategies required for effective control of blood pressure in people suffering from diabetes. In a patient with diabetes mellitus and hypertension, achieving normotension is as important as achieving euglycaemia. Consensus is in favour of aggressive lifestyle modifications. Polypharmacy is emphasised for optimal control. The pharmacological treatment differs due to effects of certain drugs on lipid profile, insulin sensitivity and glucose metabolism.