Hypertensive diabetes mellitus combined with heart failure should be controlled within the range of normal values of blood pressure and blood glucose, and heart failure should be improved by taking medications.
Blood pressure should be controlled within 130/80 mmHg, and blood pressure-lowering drugs can be used, such as angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, β-blockers, diuretics, etc. Commonly used drugs include chlorthalidomide, captopril, metoprolol, and atenolol. At the same time, the ventricular rate can be controlled as much as possible at 55-60 beats/min, and patients with heart failure with hypertension are well suited for the application of valsartan/enkephalinase inhibitors.
Fasting blood glucose and postprandial blood glucose are maintained at normal level, commonly used hypoglycemic drugs are metformin, acarbose, rosiglitazone, insulin, etc. Heart failure patients with diabetes are very suitable for the application of SGLT-2 inhibitors such as dagliflozin.
Medications should be used under the guidance of a physician.