Chinese Expert Consensus on Grassroots Prevention and Treatment of Hypertension Combined with Type 2 Diabetes Mellitus and Dyslipidemia in Adults 2024 postprint

Abstract: Hypertension，Diabetes，and Dyslipidemia are collectively referred to as the three highs ，which often coexist in the same individual. It significantly increasing the risk of hospitalization，death，and related burdens for patients. So it is necessary to jointly control the risk and standardize the treatment. Primary healthcare institutions have become the main battlefield for the prevention and treatment of chronic diseases. Existing clinical evidence provides important insights into the prevention，treatment，and management of the three highs ，but there are no applicable norms，consensus，and guidelines for the co-management of the three highs in primary healthcare institutions at domestic and foreign. Four academic organizations led by Beijing Hypertension Association organized primary healthcare workers and invited experts and scholars from many fields such as cardiovascular，endocrine，pharmacy，and public health services to participate in the consensus. It widely soliciting clinical practice needs of primary healthcare workers，integrating and evaluating the evidence related to the prevention and treatment of the three highs in primary healthcare institutions. After multiple rounds of discussions，revisions，and voting，the consensus for primary healthcare in the prevention and treatment of the three highs was formed，which includes 21 recommended opinions. The recommended opinions of this consensus aim to improve the awareness and ability of primary healthcare workers in the prevention and treatment of the three highs ，and provide scientific strategic support，implement management with primary healthcare characteristics，and lay a solid foundation for comorbidity co-management.