A recent article indicates that taking blood pressure medications at a different time of day may help improve blood pressure in people with type 2 diabetes.
Tip to take away: For people with diabetes and hypertension, taking blood pressure medications in the evening may improve your blood pressure control. Discuss your current medication routine with your healthcare provider to find out how you can get the best results.
Study summary: This study included 448 participants with both type 2 diabetes and hypertension. The researchers randomly divided the patients into two groups. One group took all of their hypertensive medications in the morning upon waking. The other group took 1 or more of their medications at night (bedtime). These participants had follow-up through the study for an average of 5-1/2 years. The subjects had their blood pressure measured over a 48-hour period at baseline and were required to have annual and sometimes quarterly monitoring of their blood pressure throughout the study. The results of both groups were analyzed and compared.
The group that took their hypertensive medications at bedtime showed significantly lower blood pressure than the group that took their blood pressure medications in the morning. The “bedtime” group also had an added benefit of reducing their risk of heart disease. This effect has also been seen in other studies where sleep time blood pressure has declined in patients with diabetes as well as patients who don’t have diabetes.
Reference: Hermida RC, Mojon A, Ayala DE, Fernandez JR. Influence of Time of Day of Blood Pressure-Lowering Treatment on Cardiovascular Risk in Hypertensive Patients with Type 2 Diabetes (Diabetes Care, 34:1270-1276, 2011)
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