Controlling systolic blood pressure is difficult in patients with diabetic kidney disease exhibiting moderate‐to‐severe reductions in renal function

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Abstract
This study compared the use of antihypertensive treatment and blood pressure (BP) controls between patients with diabetic kidney disease (DK+) and patients with non‐diabetic kidney disease (DK−) exhibiting moderate‐to‐severe chronic renal failure who did not need renal replacement therapy. A cross‐sectional survey included all renal patients with s‐creatinine at ⩾200 µmol/l attending regular control sessions at six renal units in Norway. Of the 351 patients included, 73 (20.8%) were DK+. The proportion reaching a BP goal of p = 0.92), while 38% and 39% achieved a BP of p = 0.001). Thus, despite the use of multiple antihypertensive drugs, controlling BP – especially the systolic BP – is difficult in high‐risk patients with chronic renal failure caused by diabetic kidney disease.