Treatment for blood pressure problems from diabetic neuropathy

Diabetic neuropathy can cause low or high blood pressure.

  • People who have extremely low blood pressure when they rise from a seated or reclining position (orthostatic hypotension) may benefit from wearing support stockings (also called compression stockings), which may keep blood from pooling in the legs. Increasing the salt in your diet and drinking plenty of fluids—as long as they don't contain sugar—can also help by preventing dehydration, which can make the drop in blood pressure worse when standing or sitting. Midodrine (ProAmatine) is a medicine commonly used to manage low blood pressure. Fludrocortisone, a corticosteroid medicine, may sometimes help relieve orthostatic hypotension.
  • High blood pressure in people with diabetic neuropathy may be treated with angiotensin-converting enzyme (ACE) inhibitors, such as benazepril (Lotensin) and enalapril (Vasotec). ACE inhibitors are preferred over other blood pressure medicines for people who have diabetes because ACE inhibitors do not affect blood sugar levels and they help protect the kidneys from damage. (For more information about ACE inhibitors, see the topics High Blood Pressure [Hypertension] and Diabetic Nephropathy.)

Last Updated: June 3, 2008

Author: Caroline Rea, RN, BS, MS

Medical Review: Martin Gabica, MD - Family Medicine & Barrie J. Hurwitz, MD - Neurology

related physicians

related services

Bon Secours International| Sisters of Bon Secours USA| Bon Secours Health System

This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Privacy Policy. How this information was developed to help you make better health decisions.

© 1995-2010 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.