HTN and DM thiazide?

[aspiringmd1015]

why would you use a thiazide in a patient with HTN w/ coexistant diabetes?

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[MelMcT2009]

The answer (on tests) is pretty much always an ACEI. I don't think I've seen any questions where they wanted you to choose a thiazide

 

[Transposony]

Probably an errata since thiazides open K+ channels in beta cells of pancreas which decreases insulin release.

 

[aspiringmd1015]

Probably an errata since thiazides open K+ channels in beta cells of pancreas which decreases insulin release.

my point exactly, not to metion the hyperlipidemia it also promotes that DM also have. From uw i have this writtten down, but whats first line for htn in nondiabetic patients? i have thiazides and dihdydro ca2 blockers

 

[MelMcT2009]

CCB, thiazides, ACEI, ARBS.

CCB and thiazides for African American patients

 

[Transposony]

whats first line for htn in nondiabetic patients? i have thiazides and dihdydro ca2 blockers

Thiazides are first line in patients without any other relevant associated conditions.