What blood pressure target is generally recommended for patients older than 65 years with diabetes?

For patients older than 65 years with diabetes, the generally recommended blood pressure target is under 130/80. This target aligns with guidelines aimed at reducing cardiovascular risk and preventing complications associated with elevated blood pressure.

For older adults, especially those with diabetes, maintaining a tighter blood pressure control can lead to better outcomes, including reduced risk of stroke, heart attack, and other cardiovascular events. The target of under 130/80 reflects a balance between managing hypertension effectively while considering the potential risks associated with overly aggressive treatment, such as instances of orthostatic hypotension or adverse reactions in frail older adults.

Recommended benchmarks exist based on studies indicating that achieving a systolic blood pressure below 130 mmHg can significantly benefit patients with diabetes. Nonetheless, individual treatment goals should also consider patient characteristics, comorbidities, and the potential for side effects from antihypertensive therapy, emphasizing a tailored approach to each patient's care.