OBJECTIVES: Primary care physicians (PCP’s) are required to manage blood pressure (BP) below ≤130/80 mmHg among hypertensive diabetics. First-line anti-hypertensive drugs like ACE inhibitors/ARBs are preferred primary drugs in hypertensive diabetics as per guidelines. Thus the study examined hypertension management in diabetics, by maintaining BP ≤130/80 mmHg, among PCPs and anti-hypertensive drug preference among diabetics. METHODS: A cross-sectional study analysis on 2009-2010 National Ambulatory Medical Care Survey was (NAMCS) conducted. A bivariate chi-square analysis conducted between groups. Propensity score adjusted multiple logistic regression was conducted to examine which PCP is appropriately maintaining hypertension among diabetics. A Multinomial logistic regression analysis conducted to examine which drug is preferred among hypertensive diabetic patients. RESULTS: CONCLUSIONS: BP managed in less than half diabetic patient visits. PCP’s equally manage BP among hypertensive diabetics. Comorbidities should be managed well in order to manage hypertension in diabetics. African Americans are rightly prescribed diuretics compared to ACE inhibitors/ARBs as per the Seventh Report of the Joint National Committee (JNC7) guideline. As comorbidities increase, prescription of ACE inhibitors/ARBs decrease.