On the basis of these considerations and the fact that patients with dia- betes have a higher trajectory of lifetime risk than do those without diabetes, high-intensity statin therapy is preferred in patients with diabetes as they develop risk modifiers (Table 5). Selected examples of candidates who might benefit from knowing their coronary artery calcium score is zero are listed in Table 6. 4.4. Adults With High Blood Pressure or Hypertension Recommendations from the 2017 Hypertension Clinical are adapted below. Recommendations for Adults With High Blood Pressure or Hypertension Referenced studies that support recommendations are summarized in Online Data Supplements 13 and 14. COR LOE Recommendations I A In adults with elevated blood pressure (BP) or hypertension, including those requiring antihypertensive medications nonpharmacological interventions are recommended to reduce BP. These include: ; a heart-healthy dietary patternS4.4-6 S4.4-8 ; ; dietary potassium supplementationS4.4-14 S4.4-18 ; increased physical activity with a structured ; and Adapted from recommendations in the 2017 Hypertension Clinical Practice Guidelines.S4.4-1 I SBP:A In adults with an estimated 10-year ASCVD risk* of 10% or higher and an average systolic BP (SBP) of 130 mm Hg or higher or an average diastolic BP (DBP) of 80 mm Hg or higher, use of BP-lowering medications is recommended for primary prevention of Adapted from recommendations in the 2017 Hypertension Clinical Practice Guidelines.S4.4-1 DBP:C-EO Table 5. Diabetes-Specific Risk Enhancers That Are Independent of Other Risk Factors in Diabetes Mellitus Risk Enhancers in Diabetic Patients Long duration ( 10 years for T2DMS4.3-36 or 20 years for type 1 diabetes ) Albuminuria 30 mcg albumin/mg creatinineS4.3-37 ABI indicates ankle-brachial index; eGFR, estimated glomerular filtration rate; and T2DM, type 2 diabetes mellitus. Reproduced with permission from Grundy et al.S4.3-1 Copyright 2018, American Heart Association, Inc., and American College of Cardiology Foundation. Table 6. 