For a patient with diabetes and well-controlled blood pressure, what is a reasonable target for systolic/diastolic blood pressure?

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Managing blood pressure in diabetes aims to reduce cardiovascular and kidney risks while avoiding treatment-related harms. A reasonable target for a patient with diabetes and well-controlled blood pressure is less than 130/80 mmHg, provided this can be achieved safely and in line with guideline recommendations. Guidelines emphasize individualization based on overall cardiovascular risk, comorbidities (such as kidney disease or retinopathy), age, and how well the patient tolerates antihypertensive therapy. If reaching that target causes adverse effects or isn’t tolerated, a less stringent goal (for example, <140/90) may be appropriate, with a plan to continue lowering BP as feasible. The other options propose universal or overly strict targets or no target at all, which do not reflect current practice that uses a target-based, individualized approach.