What blood pressure (BP) targets do guidelines recommend for pregnant patients with diabetes and chronic hypertension?

Updated: Feb 22, 2019
  • Author: Matthew R Alexander, MD, PhD; Chief Editor: Eric H Yang, MD  more...
  • Print
Answer

In pregnant patients with diabetes and chronic hypertension, the ADA 2016 Standards of Medical Care in Diabetes recommends blood pressure targets of 110–129/65–79 mm Hg in the interest of optimizing long-term maternal health and minimizing impairment of fetal growth. ACEIs and ARBs are contraindicated during pregnancy. [143]

The 2017 ADA position statement on diabetes and hypertension indicates no antihypertensive pharmacotherapy is necessary for pregnant women with diabetes and preexisting hypertension or mild gestational hypertension with an SBP below 160 mm Hg and a DBP below 105 mm Hg, and no evidence of end organ damage. [83] For pregnant women with diabetes and preexisting hypertension on antihypertensive therapy, suggested BP targets are an SBP of 120-160 mm Hg and a DBP target of 80-105 mm Hg.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!