Diabetes and hypertension are both extremely common diseases in our country. Both diseases affect more than 100,000,000 people in our country, but the rate of blood pressure and blood sugar control is extremely low. The main reason for this is that the patients themselves do not pay enough attention to these conditions and have unhealthy eating habits. Today, I would like to point out that both diabetes and hypertension should be strictly controlled, and the function of the heart, brain, kidneys and other important organs should be closely monitored. Once diabetes and hypertension are combined, they can not only worsen each other’s pathology and accelerate the progression of disease, but also increase the risk of various comorbidities, such as stroke, myocardial infarction, and diabetic nephropathy. This study found that controlling blood pressure and glycemic control alone is not enough for patients with hypertension combined with diabetes because it does not fully reduce the overall/cardiovascular risk in patients with hypertension combined with diabetes. Therefore, the authors suggest that in addition to managing cardiovascular indicators, managing patients with hypertension combined with diabetes should reduce alcohol consumption and smoking from a prevention perspective, while improving stress, education and physical activity. In short, keep your mouth shut, keep your legs open, and monitor more! The cardiovascular risk and overall risk in patients with type 2 diabetes combined with hypertension remains high even though their blood glucose and blood pressure are adequately controlled. To analyze and determine the difference in cardiovascular and overall risk between hypertension combined with and without diabetes, French scholar Michel E. Safar and colleagues collected physical examination records from 244,816 subjects with normal blood pressure and 99,720 subjects with hypertension (including 7480 with diabetes) between 1992 and 2011. All subjects were divided into 4 groups according to the presence or absence of hypertension or diabetes: Group I (reference or control group): those with normal blood pressure and no diabetes Group II: those with diabetes but normal blood pressure Group III: those with hypertension but no diabetes Group IV: those with both hypertension and diabetes The average follow-up was more than 12 years, during which a total of 14,050 all-cause deaths were reported. There was a significant progressive increase in the overall/cardiovascular mortality risk in those with normal blood pressure compared to those with hypertension. Mortality rates were significantly higher in those with combined diabetes (group III) than in those with hypertension without combined diabetes (group IV) (14.05% and 7.43% for all-cause mortality; 1.28% and 0.7% for cardiovascular mortality, respectively). However, no interaction between hemodynamic parameters and overall/cardiovascular risk was found in the study, which also suggests that blood pressure factors (even during treatment) may not explain the difference in mortality between patients with combined and uncomplicated diabetes in hypertension. Further analysis revealed a significant correlation between higher education, lower levels of anxiety and depression and reduced overall mortality, while impaired renal function, history of stroke and myocardial infarction, and increased alcohol consumption and smoking were found to be associated with significantly increased mortality. In summary, this study found that controlling blood pressure and glycemic control alone is not sufficient for patients with hypertension combined with diabetes because it does not fully reduce the overall/cardiovascular risk in patients with hypertension combined with diabetes. Therefore, the authors suggest that managing patients with hypertension combined with diabetes, in addition to managing cardiovascular indicators, should reduce alcohol consumption and smoking from a prevention perspective, while improving stress, education and physical activity.