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Beta blockers have been shown to have long term incidence of sugar control issues, however they have been definitely shown to reduce mortality due to coronary artery disease and therefore it is very important that diabetics with hypertension remain on a drug such as toprol XL. ACE inhibitors are equally important to remain on for protection of the kidneys due to diabetic kidney disease. Therefore, taking both Toprol XL and an ace inhibitor are the standard of care for both blood pressure control as well as the added benefits of mortality reduction and kidney protections.
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