normal blood pressure in diabetics

PaPa61518864

2/11/2013 2:30:12 PM

Can anybody tell me what is the normal range of blood pressure in healthly adults and what is the goal in diabetics?
Thanks a lot!

pinomontalbano

2/11/2013 4:47:07 PM

120/80. you want to keep their ldl below 80 or 90.

but bp is the same keep it under 120/80

PaPa61518864

2/11/2013 9:43:43 PM

Thank you!
I read the goal is to keep diabeticcs' BP below 130/80 and get confused. I think they were talking about hypertensive diabetic patient!!!

pinomontalbano

2/11/2013 10:31:37 PM

yes. the goal of every HTN patient is to get them as close to 120/80 as possible, but since diabetes accelerates atherosclerosis itself. you must keep their LDL below 90 or 80. the rules are in MTB and also in u-world. 160 is okay if you have no CAD type diseases and you must keep it below 100 if there is 2 CAD like diseases. it's all in a chart.
just memorize that chart and memorize what they consider a CAD equivalent.

PaPa61518864

2/12/2013 11:28:15 AM

Thank you so much!

pinomontalbano

2/12/2013 6:47:48 PM

fsho.

diego

2/13/2013 1:43:58 PM

PaPa61518864 wrote:

Thank you!
I read the goal is to keep diabeticcs' BP below 130/80 and get confused. I think they were talking about hypertensive diabetic patient!!!

You are right. In general, HTN is defined as B/P 140/90 but with patients who have DM or chronic renal disease HTN is defined in this group as 130/80 so the goal will be keep below this number. Yes, the ideal goal is < 120/80.

pinomontalbano

2/14/2013 12:22:59 PM

smart diego. i didn't even think about that when he was asking the question.

PaPa61518864

2/14/2013 2:19:47 PM

Thanks Diego!

And for lipid management...if pt has CAD PLUS any equivalent of the CAD (such as DM or PAD etc.), the goal for LDL is less than 70?!

Thanks a lot!

diego

2/14/2013 4:11:30 PM

PaPa61518864 wrote:

Thanks Diego!

And for lipid management...if pt has CAD PLUS any equivalent of the CAD (such as DM or PAD etc.), the goal for LDL is less than 70?!

Thanks a lot!

PaPa, be careful which resource you use when it comes to preventative medicine. The goal for LDL < 70 is from the American College of Cardiology this is not an acceptable source. There is controversy on this topic. The agreed upon goal for LDL with patients having CHD or CHD risk equivalents is < 100mg/dl. I actually just took an exam and they had both choices 70 and 100 and < 100 was the correct answer.
Same thing with patients with chronic kidney disease (CKD), the LDL goal is < 100mg/dl.
Hope this helps

pages: 1