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Predictors of Blood Pressure Control in Patients with Type2 Diabetes and Hypertension | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 21, Issue 3, 2008, Pages 204-211 | ||
| Authors | ||
| Hazim Abdul-Razak; Ali Jabbar | ||
| Abstract | ||
| Background: The overall prevalence of hypertension (HT) in diabetic patients is greater than 70%, and elevated blood pressure (BP) significantly increases the risk of complications of diabetes mellitus (DM). BP is not well controlled in the majority of patients with both DM &HT. Randomized clinical trials have demonstrated that strict BP control in DM reduces cardiovascular morbidity and mortality. Objective: This clinical study was conducted to determine predictors of BP control in patients with both Type2 DM&HT who attend National Diabetic Centre (NDC). Methods: This study is an observational prospective study enrolled 100 patients with type2 DM&HT who had been randomly selected from those attending the NDC Al-Mustansiriya University during the period of the 1st. of March 2006 to 1st. of September 2006. Detailed history had been recorded and thorough physical examination had been performed for each one of them. Readings of fasting and postprandial plasma glucose, HbA1c, body mass index (BMI=Wt./Ht.2) had been recorded. Results: This study revealed that age group between 50-59 yrs. had higher frequency of uncontrolled BP 77.77% than the age group 30-39yrs 33.33%.(p value=0.04). High percentage of uncontrolled BP was in males 80% compared with females 58.33 % (p value=0.04). 71.42% of those with longstanding DM (11-15yrs.) had uncontrolled HT. 78.12% of patients who use more than one drug to control their BP had uncontrolled HT as compared to 61.76% of those who use monotherapy (p value=0.001). Good control of BP in patients who use insulin as part of their treatment or use insulin alone as compared to other modalities of therapy ( p value=0.01) . Conclusion: Predictors of poor BP control in type2 DM were as follows: 1) older age vs younger age group 2) male sex vs. female 3) use of oral hypoglycemic drugs vs. insulin 4) use of more than one drug to control BP vs single antihypertensive drug. Keywords: Hypertension, Type2 Diabetes | ||
| Keywords | ||
| Hypertension; Type | ||
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