Diabetes and hypertension frequently coexist, significantly increasing the risk of cardiovascular disease, kidney complications, and overall morbidity. Effective management requires an integrated approach that addresses both glycemic control and blood pressure regulation. Lifestyle interventions, including dietary modifications, regular physical activity, weight management, and sodium reduction, play a critical role in mitigating risk factors. Pharmacological strategies, such as the use of ACE inhibitors, ARBs, and antihypertensive agents compatible with diabetes management, are essential for optimal outcomes. Regular monitoring, patient education, and coordinated care among healthcare providers enhance adherence and allow timely adjustments to therapy. By combining lifestyle, pharmacologic, and preventive strategies, clinicians can reduce complications, improve quality of life, and achieve comprehensive cardiovascular and metabolic health in patients with diabetes and hypertension.