Hypertension in Diabetes Mellitus

High blood pressure (hypertension) is very common in people with diabetes. There is moreover an association between hypertension and diabetes that tracks through life, while the blood glucose concentration of young non-diabetic individuals has been shown to predict risk of future hypertension. Conversely, people with hypertension are twice as likely to develop type 2 diabetes over their lifetime. High blood pressure (hypertension) is arguably the most important preventable cause of premature microvascular and macrovascular disease and their associated morbidity and mortality in people with diabetes. This chapter will review key aspects of the epidemiology and pathophysiology of hypertension in people with diabetes, as well as recommended approaches to its clinical evaluation and treatment.