According to the American Diabetes Association, 8.3% of the population—25.8 million children and adults in the United States—have diabetes.
There are two kinds of diabetes:
Type 1: Symptoms usually start in childhood or young adulthood.
Type 2: The person may not have symptoms before diagnoses. Usually the disease is discovered in adulthood, but an increasing number of children are being diagnosed with the disease.
Diabetes Type 1 is typically treated with insulin, under the direct supervision of your doctor. Type 2 is treated by controlling blood sugar levels within your target range. However, diabetes treatment becomes more complex when people with diabetes also have high blood pressure.
There are certain types of high blood pressure medications that work better for people with both conditions, recommended by doctors who work with Medicare patients. These medications are:
- Renin angiotensin system (RAS) antagonists,
- Angiotensin converting enzyme (ACE) inhibitors,
- Angiotensin receptor blockers (ARB), and
- Direct renin inhibitors.
In order to ensure proper care for Medicare patients with both diabetes and high blood pressure, the Centers for Medicare and Medicaid Services (CMS) surveys patients with both these conditions to determine if the right blood pressure medication is being prescribed. In most cases, these patients are not taking one of the recommended medications.
Talk to your doctor to see if a medication change might benefit your health and diabetes treatment plan. Remember, only your doctor can decide if an ACE inhibitor is right for you!