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UF researcher urges caution in reducing blood pressure in patients with diabetes, coronary disease
Date:3/14/2010

se in risk when their blood pressure was controlled to lower than 115 systolic the range recommended as normal by the American Heart Association.

Stephan Brietzke, M.D., an endocrinologist who did not participate in the research, was intrigued by the findings, saying that they parallel recent studies looking at blood sugar control, which suggest a U-shaped curve with higher cardiovascular risks at both "too high" and "too low" extremes.

Brietzke, an associate professor of clinical medicine at the University of Missouri-Columbia since 2002, led a multidisciplinary team that developed Veterans Health Administration and Department of Defense collaborative guidelines for the treatment of type 2 diabetes. He sees this as an important study for doctors treating patients with diabetes and cardiovascular disease.

"Identifying thresholds of when to initiate treatment, and when to say 'good enough,' is extremely important not only to optimize patient outcomes, but also to help reduce unnecessary costs of care," Brietzke said.

The AHA reports that heart disease or stroke is the top cause of death for people with diabetes, affecting more than 60 percent of patients. High blood pressure, common in diabetes, doubles the risk of cardiovascular disease.


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Contact: Linda Homewood
homewood@ufl.edu
352-665-3665
University of Florida
Source:Eurekalert

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