A patient is newly diagnosed with hypertension and diabetes. Which classes of drugs are likely to be prescribed?
1. ACE inhibitors
2. Beta blockers
3. Thiazide diuretics
4. Calcium channel blockers
5. Angiotensin receptor blockers (ARBs)
Correct Answer: 1,5
Rationale 1: ACE inhibitors protect the kidneys in patients with diabetes. JNC VI recommends that patients with other compelling factors be given an antihypertensive that also treats the "other" factors.
Rationale 2: Beta blockers treat hypertension but do not help diabetes and can mask signs of hypoglycemia.
Rationale 3: Thiazide diuretics treat hypertension, but do not help diabetes.
Rationale 4: Calcium channel blockers treat hypertension, but do not help diabetes.
Rationale 5: ARBs protect the kidneys in patients with diabetes. JNC VI recommends that patients with other compelling factors be given an antihypertensive that also treats the "other" factors.
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