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糖尿病患者具有较高的心血管疾病发生风险,而后者是引起糖尿病患者过早死亡的主要原因。危险因素和合并症的治疗,诸如高血压,尤为重要并可有效预防心血管事件。糖尿病患者血压应控制在140/90mmHg以下,并尽可能降至130～135/85mmHg,但目前支持这一目标的证据不足。应启用强化生活方式干预和多种降压药物联合治疗促使血压达标。在联合治疗中应包括一种ACEI类药物,根据ACCOMPLISH试验,ACEI和CCB联合为首选用药方案。
People with diabetes have a higher risk of cardiovascular disease, the latter being the leading cause of premature death in people with diabetes. Treatment of risk factors and comorbidities, such as hypertension, is of particular importance and is effective in preventing cardiovascular events. Blood pressure in patients with diabetes should be controlled below 140 / 90mmHg, and as much as possible to 130 ~ 135 / 85mmHg, but there is not enough evidence to support this goal. Should enable enhanced lifestyle intervention and a variety of antihypertensive drugs to promote blood pressure compliance. In the combination therapy should include an ACEI drugs, according to ACCOMPLISH test, ACEI and CCB combination for the preferred drug regimen.