### Overview People with diabetes are at a higher risk of developing heart disease or stroke earlier than the general population. High glucose levels can increase the risk of high blood pressure (hypertension). According to the American Diabetes Association (ADA), nearly 1 in 3 American adults has high blood pressure, and for those with diabetes, 2 out of 3 have high blood pressure. ### High Blood Pressure and Diabetes High blood pressure often doesn't cause symptoms, so you might feel fine even if your heart is working harder than it should. This condition is serious, especially for people with diabetes, as it can lead to hardening of the arteries and damage to the brain, kidneys, eyes, and other organs. ### Treatment Options Doctors may try lifestyle changes and better blood glucose control before prescribing beta-blockers for high blood pressure. Medication decisions depend on personal medical history. A 2015 review recommends drug therapy to lower systolic blood pressure if it's above 130 mm Hg. ### Beta-Blockers Beta-blockers are prescription drugs used to treat conditions like glaucoma, migraines, anxiety disorders, heart failure, and high blood pressure. They work by blocking the effects of norepinephrine (adrenaline), slowing nerve impulses in the heart, and reducing heart rate and pressure. They also help open blood vessels, improving blood flow. ### Impact on Diabetes For people with diabetes, recognizing low blood sugar symptoms is crucial. Beta-blockers can mask these symptoms, such as a rapid heartbeat, making it harder to detect low blood sugar. Frequent blood sugar checks and consistent eating are essential. ### Side Effects Beta-blockers can cause side effects like shortness of breath, difficulty sleeping, and loss of sex drive. They may also raise triglyceride and cholesterol levels temporarily. Doctors might monitor these levels and adjust medication as needed. ### Monitoring Health Regular checkups are important for people with diabetes. Monitoring blood glucose and blood pressure is crucial, as high blood pressure often has no symptoms. Using a home blood pressure monitor and catching elevated levels early can help delay or avoid medication. ### Lifestyle Tips Limit alcohol consumption, quit smoking, and work with your doctor and dietitian to maintain a healthy diet and exercise program.