173) A 52 year old African-american woman is seen in the office during a regular follow-up visit. Her history is significant for diabetes mellitus and hypertension. Her medications include Aspirin, Glipizide, atorvastatin and losartan. She states that she stopped taking diuretic because it increased her frequency of urination that it interfered with her active lifestyle.
On examination, blood pressure is 152/94 mm Hg seated and standing. Her physical examination is normal. Laboratory values reveal microalbuminuria of 250mg/24hours and a serum creatinine concentration of 1.3mg/dl. Based on the findings above, her blood pressure medications should be optimized to achieve which of the following targets?
A) < 140/90
B) < 135/85