arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2017-23-4-340-345arthyper-665Research ArticleДискуссииDiscussionОПРАВДАНО ЛИ ИЗМЕНЕНИЕ ЦЕЛЕВЫХ ЗНАЧЕНИЙ АРТЕРИАЛЬНОГО ДАВЛЕНИЯ ПРИ САХАРНОМ ДИАБЕТЕ?TARGET BLOOD PRESSURE LEVELS IN DIABETES MELLITUS: ARE THE CHANGES REASONABLE?ШестаковаМ. В.ShestakovaM. V.

Шестакова Марина Владимировна — доктор медицинских наук, профессор, академик РАН, директор Института диабета ФГБУ «Эндокринологический научный центр» Минздрава России, заведующая кафедрой эндокринологии и диабетологии педиатрического факультета ФГБУ «Первый Московский государственный медицинский университет им. И. М. Сеченова» Минздрава России, заслуженный деятель науки.

ул. Дмитрия Ульянова, д. 11, Москва, Россия, 117036. 

Marina V. Shestakova, MD, PhD, DSc, Professor, academician of the Russian Academy of Sciences, Director, Institute of Diabetes Mellitus, Endocrinology Research Centre, Head, Department of Endocrinology and Diabetology, Pediatrics Faculty, I. M. Sechenov First Moscow State Medical University, Honoured Scientist.

11 Dmitry Ulianov st., Moscow, 117036 Russia. 

shestakova.mv@gmail.comФедеральное государственное бюджетное учреждение  «Эндокринологический научный центр» Министерства  здравоохранения Российской Федерации.РоссияEndocrinology Research Centre.Russian Federation201728092017234340345Copyright © Шестакова М.В., 20172017Шестакова М.В.Shestakova M.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/665

 Достижение целевых значений артериального давления (АД) у больных сахарным диабетом (СД) является важным элементом терапии для улучшения прогноза дальнейшего течения заболевания и его осложнений. За последние годы на основании результатов крупных, многоцентровых исследований в рекомендациях кардиологических сообществ различных стран были пересмотрены целевые уровни АД. Стремление к более низким значениям АД при СД 2-го типа оправдывает себя, однако при условии безопасного достижения этих уровней, и требуется более персонализированный подход к определению целей антигипертензивной терапии у пациентов с СД 2-го типа и артериальной гипертензией.

The prognosis of patients in diabetes mellitus associated with hypertension can be improved if target blood pressure is achieved. Based on the results of the large-scale, multicenter trials, the target blood pressure levels have been modified in the recent guidelines on the management of hypertension, and in various countries different approaches have been reported. Lower target blood pressure might be reasonable provided with the optimal safety. A personalized approach is important for the choice of antihypertensive therapy.

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The authors declare that there are no conflicts of interest present.