Hypertension and diabetes are becoming increasingly common. Clinical trials have demonstrated the importance of tight blood pressure control among patients with diabetes. However, little is known regarding the management of hypertension in patients with coexisting diabetes. Most patients with both disorders have a markedly worsened risk for premature micro vascular and macro vascular complications. The appropriate management of the hypertension seen in almost 70% of patients with type 2 diabetes mellitus remains controversial. However, over the past few years, many randomized, controlled trials have provided guidance for more effective therapy. These trials have established the need for a lower goal blood pressure (< 130/80 mm Hg) than has previously been recommended. To achieve therapy goals, multiple antihypertensive drugs are usually needed.