The analysis of NHS data in England by Diabetes UK showed the number of people not hitting their target has been stuck at about 50% in recent years.
High blood pressure increases the risk of conditions such as heart disease, kidney failure and stroke.
The charity said people needed more support to control their condition.
"This is one of the reasons they are experiencing record rates of stroke and kidney failure and are dying years younger than the rest of the population."
A Department of Health spokesman said it was vital for health professionals to ensure diabetic patients with high blood pressure got all the health checks recommended by the National Institute for Clinical Excellence (Nice).
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