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Hypertension in diabetes — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsHypertension in diabetesGPhC CRA

A 52-year-old man with type 2 diabetes and hypertension is prescribed ramipril. He asks why this was chosen rather than a beta-blocker. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Explain that ACE inhibitors are commonly used when diabetes and hypertension coexist

ACE inhibitors are commonly selected in diabetes with hypertension, particularly when kidney protection is relevant. A dry cough can occur, but treatment changes should be discussed with the prescriber rather than stopped without review. Beta-blockers are not universally contraindicated in diabetes, but they are not the usual explanation for this prescription.

Reference: NICE CKS; BNF