This report focuses on type 2 diabetes, exploring its pathophysiology, which includes insulin resistance and insufficient insulin secretion. It discusses the case of Bill MacDonald, a 75-year-old diagnosed with type 2 diabetes and hypertension, highlighting the impact of fluctuating glucose levels and eye tiredness. The report details the importance of lifestyle modifications such as exercise and diet, alongside pharmacological interventions. It examines various drug classes including ACE inhibitors, ARBs, diuretics, and sulphonylureas, considering their roles in managing hypertension and the progression of diabetic complications like kidney failure. The report emphasizes the need for a stepwise approach to pharmacological management, tailored to the patient's condition and potential side effects, supporting nurses in making informed decisions for hypertensive diabetic patients.