In our daily lives, we may often hear the words “high blood pressure” and “high blood sugar” that increase the risk of cardiovascular disease when high blood pressure comes with high blood sugar. So, for high blood pressure patients, how to manage blood sugar is particularly important in setting reasonable blood sugar management targets. First of all, let us understand that blood sugar management targets for patients with hypertension are not static. It depends on the insulin function of the individual, the existence of insulin resistance and any other co-mergence.
In general, however, blood sugar control targets for high blood pressure patients can be set at < 7% for sugared haemoglobin HbA1c, between 4.4 and 7.0 mmol/L for empty abdominal blood sugar, and < 10.0 mmol/L for two hours after meals.
However, this is not absolute. Blood sugar control targets can be relaxed as appropriate for those who are vulnerable to low blood sugar, long-term illness, old age or other combinations. In particular, for type 1 diabetes patients, the blood sugar control target should also be adjusted flexibly if complications such as kidney and endopathy are combined.
In short, the basic principle is to avoid low and high blood sugar emergencies. How, then, can these be achieved? Dietary adjustment is an indispensable link. High blood pressure patients should control total caloric intake, where carbohydrates account for 55 to 65 per cent of total calories and proteins do not exceed 15 per cent of total calories. At the same time, as far as possible, weight should be kept within normal limits and a good habit of eating less and eating more. In addition to diet, adequate and regular motion is an effective means of reducing blood sugar. It is recommended that high blood pressure patients opt for aerobics with moderate strength, such as walking, swimming, for a total of 3 to 5 days per week, with a cumulative of 30 to 60 minutes per day. But what needs to be noted is that if you’re on insulin treatment, you have to keep a regular life, including regular meals and sports.
Drug treatment is, of course, essential if dietary and motor adjustment does not effectively control blood sugar. Specific drug programmes should be developed on the advice of doctors and in the context of individual cases.
Overall, blood sugar management for high blood pressure patients is a system project that requires a combination of food, exercise, medicine, etc. That’s the only way to ensure that our blood sugar levels remain within reasonable limits, so far from the threat of cardiovascular disease.
