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Table 11-26 lists the antihypertensive drug classes, commonly seen class complications, and their beneficial effects on diabetes risk reduction. First-line Drugs for Hypertension. The first-line drug class for managing hypertension in patients with diabetes is ACE inhibitors. Calcium antagonists or low-dose thiazide diuretics can be added if the BP goal of less than 13085 mm Hg is not achieved with ACE inhibitor monotherapy. Calcium antagonists and thiazide diuretics have been show to reduce cardiovascular events and progression of renal disease while being metabolically llave de san benito donde comprar viagra one less desk alternatives to viagra their effects on glucose control and lipid profiles. 238239 The combination of ACE inhibitors with either a calcium antagonist or a thiazide diuretic can reduce proteinuria.

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After 7. 8 years of follow-up, the intensively managed patients had a 50 reduction in the incidence of macrovascular and microvascular disease when compared with the conventionally managed group ( Table 11-5 ). Thus, approaching diabetes from a multifactorial prospective is critical in successfully managing patients at risk for complications. Behavioral and pharmacologic strategies can reduce the risk of diabetes-related complications. Smoking cessation clearly lowers the risk of cardiovascular disease (CVD) and may decrease the risk of microvascular complications. 13 Thirty minutes of daily exercise improves A1C in patients with T2DM and prevents the progression of diabetes and CVD.

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