Sodium restriction and substitution of sodium by potassium salt may be useful. Reduced intake of saturated fat and cholesterol and increased intake of fibers and omega3fattyacid are beneficial. Supplementation of calcium may reduce the systolic pressure by 1.8 mm Hg and diastolic pressure by 0.7 mm Hg. Lifestyle modification, not only helps blood pressure control, but also is useful in glycaemic and lipid control. Type 2 diabetics are relatively resistant to antihypertensive drugs in view of the associated obesity and hyperinsulinaemia, and many will require at least three drugs for tight blood pressure control. Isolated systolic hypertension in the elderly is dangerous & should be treated. Aggressive lowering of blood pressure is required in patients with risk factors.