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Quality of Control and Treatment of Blood Pressure in Type 2 Diabetes Patient with Hypertension
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H. Safaei   , M. Amini |
| , emrc@mui.ac.ir |
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Abstract: (20518 Views) |
| Introduction: Hypertension is a major risk factor for cardiovascular and microvascular complications. Recent studies have demonstrated the effectiveness of blood pressure in treatment in reducing the complications of diabetes. The aim of this study is to assess the quality of blood pressure control in type 2 diabetic patient with hypertension. Materials and Methods: We studied data from 602 type 2 diabetic patients who had had at least four regular clinic visits every year for medical care in the outpatient clinics of the Isfahan Endocrinology and Metabolism Research Centre duting the period 1999–2004 years. Blood pressure was measured of a systolic and/or diastolic blood pressure of ≥ 130 and/or ≥ 80 mmHg by standardized protocols, and hypertension was defined as at least two consecutive measurements within 2 months and/or taking anti-hypertensive medication. Results: At initial registration the mean age of participants was 57.4±9.3 years, with a mean duration of diabetes of 9.4±4.7 years. Of the patients, 338 (56.2%) who more than four visits per year, had high blood pressure and 13.9 percent of these had a blood pressure ≥ 130/80 mmHg at initial registration. Among the 5 years of follow up, hypertensive patients increased to 452 (75%), of whom 24.5% had controlled blood pressure. The mean values of age, BMI, HbA1c, urine albumin and prevalence of retinopathy in controlled hypertensive patients were significantly lower in the uncontrolled. Conclusion: Our findings showed that many type 2 diabetic patients with hypertension have inadequately controlled blood pressure. Effective intervention efforts are needed to improve blood pressure control in these patients. |
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| Keywords: Type 2 diabetes, Hypertension, Blood pressure control, Risk Factor |
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Full-Text [PDF 287 kb]
(10291 Downloads)
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Type of Study: Original |
Subject:
Endocrinology
Received: 2008/01/16 | Published: 2007/12/15
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