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Question 5#

A patient with type 2 diabetes mellitus is found to have a blood pressure of 152/98. She has never had any ophthalmologic, cardiovascular, or renal complications of diabetes or hypertension.

Which of the following is the currently recommended goal for blood pressure control in this case? 

a. Less than 160/90
b. Less than 145/95
c. Less than 140/90
d. Less than 130/80
e. Less than 120/70

Correct Answer is D

Comment:

(JNC 7 Express, http://www.nhlbi.nih.gov/guidelines/hypertension/express.pdf.) Goals for blood pressure control and lipid levels are typically more stringent in the diabetic compared to the nondiabetic. The goal blood pressure for diabetics and patients with renal disease is less than 130/80. Blood pressure goal for the standard patient is less than 140/90. Both systolic and diastolic pressures should be below goal in order to achieve optimal blood pressure control.