Latinos are not a homogenous group because they come from many places, including Puerto Rico, Mexico, Central America, and Cuba. Hypertension and DM have intertwined relationships with insulin resistance and hyperinsulinemia, leading to dyslipidemia, diabetes, hypertension, and obesity. Treating Elderly Hypertensives Pseudohypertension, white coat hypertension, orthostasis, low cardiac output, low-renin, and peripheral vascular resistance may skew the picture in the elderly. Secondary cost and drug side effects are a concern. Monitor potassium, sodium, and uric acid levels, and watch for insulin resistance.
Calcium blockers are appropriate for elderly hypertensives.
Cross-cultural communication between patient and provider also improves compliance.