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Apologize if it's been asked before or if I had posted this in the wrong forum. So.., this is kind of stupid question, but it's been bothering me for some time. I've googled this and still can't find any satisfactory answer...
For a diabetic patient with a BP of 150/90 mmHg and at high risk CVD, what antihypertensive agent(s) would you give?
Would you start with monotherapy? Or should it be combination therapy?
ACE-inhibitors or ARBs would be the obvious choice since can delay the progression of microalbuminuria and diabetic nephropathy (CMIIW)...
If you give a combination therapy, what second antihypertensive agent would you choose? Thiazides? CCBs? Or even B-Blockers?
Also, given the hypokalaemia risk, why are thiazides preferred over loops?
For a diabetic patient with a BP of 150/90 mmHg and at high risk CVD, what antihypertensive agent(s) would you give?
Would you start with monotherapy? Or should it be combination therapy?
ACE-inhibitors or ARBs would be the obvious choice since can delay the progression of microalbuminuria and diabetic nephropathy (CMIIW)...
If you give a combination therapy, what second antihypertensive agent would you choose? Thiazides? CCBs? Or even B-Blockers?
Also, given the hypokalaemia risk, why are thiazides preferred over loops?