Primary Care, Diabetes and Chronic Care

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Lipids & Hypertension

Lipids & Type 2 Diabetes


There is an increased prevalence of lipid abnormalities in patients with type 2 diabetes. Elevated lipids cause plaques or blockages to form in arteries. Higher lipids contribute to a greater risk of heart attack and stroke. Screening is recommended at least every year for diabetic patients to make sure their lipids are under control.

Lifestyle therapy or changes in diet and activity level are a preferred method to control lipids. Education about healthy choices can help you lower your bad cholesterol (LDL) and raise your good cholesterol (HDL). Pharmacological therapy is also frequently needed to control lipid values.


Also known as high blood pressure, hypertension contributes to many health problems. There is an increased risk of heart attack and stroke associated with high blood pressure. Specific complications associated with diabetes are made much worse when blood pressure is not controlled. Nephropathy or kidney damage is much worse when blood pressure and blood sugar are not controlled. Retinopathy or damage to the eyes can be reduced when blood pressure and glucose levels are well controlled.

Lifestyle therapy can be very effective at reducing hypertension. Weight loss if a patient is overweight helps reduce blood pressure. Decreasing intake of sodium, reducing or eliminating alcohol, and increasing physical activity all positively affect blood pressure.Many patients will continue to need pharmacological therapy for hypertension. For these patients, taking your medicine as directed and discussing your blood pressure goals with your doctor are essential.