Hypertension is a risk factor for type 2 diabetes. If not properly managed, patients with high BP are likely to end up with diabetes with subsequent high risk of kidney damage. The results of the Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA) study has shown that the major predictor of new-onset diabetes in patients with hypertension is high baseline fasting plasma glucose levels more than 90mg%. The risk increases by 5.8 times for each 18mg% rise above 90 mg%. The other risk factors are higher weight, higher blood pressure and higher triglyceride levels. High BP patients on atenolol (beta blocker drug) regimen with or without a diuretic are also at risk. On the other hand high BP patients on amlodipine (calcium blocker) ± perindopril (ACE inhibitor), with high good HDL cholesterol levels, moderate alcohol use, and age older than 55 years had protection from developing diabetes.