What should I do if my blood pressure doesn't come down despite having hypertension and diabetes?

Patient's question:

Blood pressure high in the past week

Doctor's answer:

The Relationship Between Hypertension and Diabetes
Many patients with hypertension, especially those who are obese, often have diabetes, and diabetes is also frequently accompanied by hypertension. Therefore, the two conditions are referred to as "syndromic diseases" with a common origin. The factors or causes are as follows:
Hypertension and diabetes may share common genetic genes;
Vessels in diabetic patients are more sensitive to angiotensin, which has a hypertensive effect;
Diabetes is prone to cause kidney damage, and kidney damage can lead to elevated blood pressure.
Additionally, due to high blood glucose levels, increased blood viscosity, damaged blood vessel walls, and elevated vascular resistance, diabetes can easily lead to hypertension.
From this, it can be understood that both hypertension and diabetes are related to hyperlipidemia. Therefore, the prevention and treatment of both conditions require simultaneous lipid reduction. Once patients understand this principle, they can compare the differentiated advantages of similar products. Currently, most antihypertensive and antidiabetic drugs on the market are single-function, while lipid-lowering drugs often have certain harmful effects on the liver.
Advice: For patients with hypertension combined with diabetes, the primary goal is to reduce lipid levels. How can lipid levels be reduced?
1. Control calorie intake: Each person's daily calorie intake should be limited to 294 calories per kilogram of body weight.
2. Engage in moderate exercise, reduce the consumption of greasy foods, and develop healthy eating habits. A balanced diet should be maintained, and lipid-lowering foods can be consumed as supplementary measures. For example, well-known domestic brands like Tanghe Tang L-Arabinose for blood sugar and lipid reduction have proven to be effective.
3. Adopt a regular lifestyle: Sodium intake should be less than 8 grams per day.

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