In the ABCs of Diabetes, 'B' Stands for Blood Pressure

(ARA) - People with diabetes are three times more likely to have high blood pressure than people without diabetes. High blood pressure, or hypertension, means that the force of the blood inside your blood vessels is too high. High blood pressure makes the heart work too hard and can increase the risk for heart attack and stroke.

Hypertension often goes unnoticed. A recent study found that about 71 percent of people with diabetes have high blood pressure, and 43 percent were doing nothing to treat it. Additionally, about one-third didn't even know they had it.

There are two numbers associated with blood pressure: systolic (the bigger number) measures the pressure as your heart beats and pushes blood; and diastolic (the smaller number) measures the pressure when your heart rests between beats. The American Diabetes Association recommends lowering systolic blood pressure to below 130. Reducing your diastolic blood pressure to less than 80 will have the greatest impact in reducing your risk of cardiovascular disease and other complications.

How do you bring your numbers down?

• If you smoke, quit immediately. Consult your health care provider if necessary.
• If you are overweight, work with your health care provider to find a weight-loss program that fits your lifestyle.
• Ask a dietitian to help you develop a meal plan. You may need to reduce your salt and alcohol consumption.
• Make time for excercise. Even 30 minutes of walking a day can lower blood pressure.
• Take medicine. Some blood pressure medicines have been shown to reduce kidney disease, heart attacks and stroke. Talk with your health care provider about the best medicine for you. Often, you may need more than one medicine.