Type 2 diabetes has reached epidemic proportions in our society, affecting many of our elderly. Much of the high risk of cardiovascular events (heart attacks, strokes, and death) is associated with the height of blood pressure. Ambulatory blood pressure monitoring has been shown to predict cardiovascular risk better than office blood pressure in many populations, but the value of ambulatory monitoring to predict cardiovascular risk in people with diabetes requires further evaluation. Currently available data suggest that ambulatory monitoring may prove useful in that regard, but more longitudinal studies are critically needed if this noninvasive method is to become part of the standard of care when managing people with diabetes.