Diabetes and hypertension

Over 4 million people in the UK are living with diabetes; the majority have type 2 diabetes and over two-thirds also have hypertension. Diabetes and hypertension increase the risk of complications such as stroke, myocardial infarction and premature death, and they also elevate mortality rates. This article uses a case history approach to illustrate the difficulty and methods for managing diabetes and hypertension in a reluctant patient. Drawing on practical clinical experience, it underscores the complex barriers to effective patient engagement and sustained adherence. The article also explores evidence-based strategies that can improve outcomes despite patient resistance.