Mixed
Intensive lifestyle intervention (ILI) focused on weight loss and frequent goal-based pharmacological monitoring both significantly improve systolic blood pressure control in overweight/obese adults with type 2 diabetes compared to standard education and support.
If you have type 2 diabetes and high blood pressure, both intensive lifestyle changes (focusing on weight loss and exercise) and frequent monitoring with medication are effective strategies. Standard education alone is less effective. You should discuss these options with your doctor to find the best fit for your lifestyle and health goals.
Both the ILI (OR = 1.46; 95% CI = [1.18–1.81]) and frequent goal-based monitoring with pharmacotherapy (OR = 1.51; 95% CI = [1.16–1.97]) yielded higher rates of blood pressure control compared to education and support.
Why this rating
Large pooled analysis of two major clinical trials (Look AHEAD and ACCORD) with rigorous statistical methods.
Source
Systolic Blood Pressure Control Among Individuals With Type 2 Diabetes: A Comparative Effectiveness Analysis of Three Interventions
Mark A. Espeland et al. · American Journal of Hypertension · 2015
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