The first choice of antihypertensive treatment for diabetes

Clinically, there is no detailed description of the first choice of antihypertensive treatment for diabetic patients. ACEI drugs, ARB drugs, CCB drugs and other drugs can be selected for antihypertensive treatment for diabetic patients. 1. ACEI drugs such as enalapril, benazepril and perindopril block the production of angiotensin II by inhibiting angiotensin converting enzyme, thus relaxing blood vessels and achieving hypotensive effect. 2. ARB drugs such as irbesartan, valsartan and losartan potassium also achieve the purpose of relaxing blood vessels and lowering blood pressure by blocking the binding of angiotensin II to its receptor. 3. CCB drugs include nifedipine, amlodipine, verapamil, etc. CCB drugs mainly relax vascular smooth muscle and reduce peripheral vascular resistance by inhibiting calcium ions from entering cells. When selecting antihypertensive drugs for diabetic patients, it is necessary to comprehensively consider the patient's blood pressure level, other diseases combined, adverse reactions of drugs and other factors, follow the doctor's advice, and achieve individualized treatment, so as to ensure that the patient's blood pressure is controlled up to standard, reduce the occurrence of adverse reactions, and protect the patient's heart, brain, kidney and other important organs. In addition, lifestyle adjustments, such as a low-salt diet, moderate exercise, weight control, smoking cessation and alcohol restriction, are also crucial for blood pressure control.

Patients should closely monitor their blood pressure, return regularly, and adjust their treatment plan in time according to their blood pressure.