Diabetes and High Blood Pressure

High blood pressure is 2 times more likely to strike a person with diabetes. Left untreated, high blood pressure can cause serious health problems. These include:

  • Heart disease

  • Kidney disease

  • Eye problems

  • Stroke

A person with diabetes and high blood pressure is 4 times more likely to have heart disease. And 2 out of 3 adults with diabetes have blood pressure higher than 130/80 mm Hg (see below). Or they use prescription medicines for high blood pressure.

What is high blood pressure?

Blood pressure is the force of blood pushing against your artery walls. Each time your heart beats, it pumps blood into these arteries. The highest blood pressure occurs when your heart beats and is pumping blood. High blood pressure raises the risk of heart attack and stroke. With high blood pressure, the arteries may have more resistance against blood flow. Then the heart must pump harder to circulate the blood.

Two numbers are used to measure blood pressure:

  • Top number (systolic pressure). This is the pressure inside the artery when the heart beats.

  • Bottom number (diastolic pressure). This is the pressure inside the artery when the heart rests between beats.

Both the systolic and diastolic pressures are recorded as mm Hg (millimeters of mercury).

Blood pressure is grouped as normal, elevated, or stage 1 or stage 2 high blood pressure:

  • Normal blood pressure. Lower than 120/lower than 80

  • Elevated blood pressure. 120 to 129/Less than 80

  • Stage 1 high blood pressure. 130 to 139/ or diastolic between 80 and 89

  • Stage 2 high blood pressure. 140 or higher/ or 90 or higher

Your healthcare provider will recommend a blood pressure goal for you. This will be based on your own unique circumstances.

What are the symptoms of high blood pressure?

Symptoms can be different for each person. Often people with high blood pressure don't have symptoms you can see. If your blood pressure is very high, you may have these symptoms:

  • Headache

  • Dizziness

  • Blurred vision

The symptoms of high blood pressure may look like other health conditions or problems. Always talk with your healthcare provider for a diagnosis.

Preventing high blood pressure

These tips can help prevent high blood pressure:

  • Reduce your salt intake

  • Eat whole-grain breads and cereals

  • Try stress-relieving activities 

  • Exercise regularly

  • Get to and stay at a healthy weight

  • Don't drink too much alcohol  

  • Stop smoking and stay away from secondhand smoke 

  • Check your blood pressure at home

Treatment for high blood pressure

Treatment will depend on your symptoms, age, and general health. It will also depend on how severe the condition is.

Treatment may include exercise, a balanced diet, and quitting smoking. Your healthcare provider may also prescribe medicines.

Online Medical Reviewer: Raymond Kent Turley BSN MSN RN
Online Medical Reviewer: Robert Hurd MD
Date Last Reviewed: 12/1/2018
© 2000-2020 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.