API-ICP Release Guidelines on Managing Hypertension in T2DM Patients

Kolkata: The Association of Physicians of India (API), in partnership with the Indian College of Physicians (ICP), has published new guidelines for managing hypertension in Indian patients with Type 2 Diabetes Mellitus (T2DM). These guidelines aim to provide a comprehensive, region-specific protocol to tackle the increasing dual challenge of hypertension and diabetes in India.

Key Highlights:
Dual Burden of Diseases: Hypertension and diabetes are among the leading lifestyle diseases in India, significantly contributing to morbidity and mortality. Studies indicate that over 50% of hypertensive patients in India are also diagnosed with T2DM.
Significant Overlap: The co-occurrence of these conditions amplifies the risk of cardiovascular complications and accelerates the progression of renal disease, making effective management strategies critical.
Need for Specific Guidelines: Majority of these diseases are diagnosed and managed at the primary care level in India, necessitating detailed guidelines tailored to Indian patients.
Guidelines Focus:
Early Detection: Emphasizes the importance of early detection and comprehensive assessment.
Multi-Faceted Treatment: Recommends a combination of angiotensin receptor blockers (ARBs) with calcium channel blockers (CCBs) and newer anti-diabetic agents like SGLT2 inhibitors and GLP-1 receptor agonists.
Newer Medications: Highlights the benefits of newer CCBs, specifically Cilnidipine, for its effectiveness in reducing blood pressure and protecting crucial organs.
Use of RAS Blockers: Suggests the use of renin-angiotensin system (RAS) blockers to prevent and slow the progression of diabetic kidney complications.
Additional Recommendations:
Patient-Specific Factors: Emphasizes considering patient-specific factors and comorbidities when selecting treatment regimens.
Integration of Lifestyle Modifications: Advocates for integrating lifestyle modifications, including the practice of yoga, to enhance treatment outcomes.
Home BP Monitoring: Recommends home blood pressure monitoring to empower patients in managing their condition and improving adherence to treatment.
Implementation:
Adoption by Healthcare Practitioners: Encourages healthcare practitioners across India and beyond to adopt these guidelines to enhance patient care.
Published Guidelines: Published in the Journal of Association of Physicians of India (JAPI), these guidelines serve as a valuable resource for clinicians dedicated to providing the highest standard of care.
This comprehensive set of guidelines aims to provide a robust framework for the effective management of hypertension in patients with T2DM, addressing the unique challenges faced by the Indian population.