Hypertensive diabetes mellitus in the 40s does not affect the survival time of patients with standardized treatment and smooth control of blood pressure and blood glucose. The prognosis of patients with hypertension and diabetes mellitus is not only related to the level of blood pressure and blood glucose, but also to whether other cardiovascular risk factors are combined and the degree of target organ damage. For middle-aged patients in their 40s, it is more important to actively control blood pressure and blood glucose, assess the specific situation under the guidance of a physician, standardize the use of medications, control blood pressure and blood glucose within the standard range, and reduce the risk of cardiovascular events and target organ damage, which will generally not affect the survival time. Because hypertension and diabetes are common chronic diseases in the middle-aged and elderly population, and are common risk factors for cardiovascular and cerebrovascular diseases such as coronary heart disease and stroke, if the blood pressure and blood glucose are not controlled properly for a long period of time, it can lead to chronic diseases such as coronary heart disease and stroke, and can even lead to acute myocardial infarction, cerebral hemorrhage and other emergencies, and the lack of timely treatment can affect the quality of life, and can even lead to a life-threatening situation. When diagnosed with hypertension, diabetes, timely medical treatment, standardized treatment under the guidance of physicians, do not delay the condition, resulting in adverse consequences.