What should be recommended for a patient with type 2 diabetes and a blood pressure of 147/95 mm Hg?

The correct recommendation is to initiate lifestyle therapy plus antihypertensive therapy with an angiotensin-converting enzyme (ACE) inhibitor for a patient with type 2 diabetes and a blood pressure of 147/95 mm Hg. This approach is grounded in the clinical practice guidelines that emphasize the importance of managing hypertension in individuals with diabetes to reduce the risk of cardiovascular events and complications associated with diabetes.

Individuals with type 2 diabetes are at a higher risk for developing cardiovascular diseases, and hypertension exacerbates this risk. Therefore, not only is it crucial to address elevated blood pressure, but the use of an ACE inhibitor is particularly beneficial. ACE inhibitors not only help in controlling blood pressure but also offer renal protective effects, which are vital for diabetic patients by preventing the progression of kidney disease.

Additionally, lifestyle therapy—such as dietary changes, increased physical activity, and weight management—is essential because it can significantly impact blood pressure levels and overall health. This comprehensive approach targets both immediate and long-term health outcomes, enhancing the patient's management plan in the context of diabetes.

Monitoring blood pressure without intervention would not be sufficient in this situation, as the patient's current readings indicate hypertension that requires action. Discontinuing all medications would not be a viable option, as this could worsen