Final answer:
The recommended treatment for hypertension in individuals with diabetes and African American ethnicity is a combination of antihypertensive medications. First-line medications include thiazide-diuretics, calcium channel blockers, ACE inhibitors, and ARBs. Treatment should be implemented using a stepped care approach.
Step-by-step explanation:
The recommended treatment for hypertension (HTN) in individuals with diabetes mellitus (DM) and African American ethnicity, according to JNC 8, is a combination of antihypertensive medications. First-line medications for hypertension include thiazide-diuretics, calcium channel blockers, angiotensin converting enzyme inhibitors (ACE inhibitors), and angiotensin receptor blockers (ARBs). These medications may be used alone or in combination, but ACE inhibitors and ARBs are not recommended for use together. Most people with hypertension require more than one medication to control their blood pressure, and treatment should be implemented using a stepped care approach.