- BP targets for young people with type 1 diabetes (T1D) might need to be lower than the American Diabetes Association (ADA) recommendations of 140/90 mmHg.
- Study findings presented at ADA 2019 pinpoint 120/80 mmHg as appropriate target for ensuring reduced cardiovascular risk.
Why this matters
- The study authors used time-weight BP measures.
- The findings suggest that once HbA1c enters high-normal range, the focus can turn to controlling BP, the authors said in a statement.
- The authors identified optimal levels for reduced coronary artery disease (CAD) risk as follows:
- Systolic BP: 120 mmHg.
- Diastolic BP: 80 mmHg.
- Mean arterial pressure: 90 mmHg.
- Compared with BP
- Pittsburgh Epidemiology of Diabetes Complications study, including 605 participants with no known CAD who were followed for 25 years.
- Time-updated cumulative (mmHg/year) and time-weighted BP measures were evaluated for association with CAD.
- Funding: Not known.
- Observational, so residual confounding possible.
- Findings presented at a conference without peer review.