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Is hypertension well controlled in hypertensive diabetics

Daad H Akbar1, Aisha A Al-Ghamdi

  • 1Department of Medicine, PO Box 115652, Jeddah 21381, Kingdom of Saudi Arabia. daadakb@yahoo.com

Saudi Medical Journal
|May 20, 2003
PubMed

Insights

Blood pressure control is poor in most hypertensive diabetics, with only a small percentage meeting targets. Physicians and patients must collaborate for improved blood pressure management in this high-risk group.

Area of Science:

  • Cardiology
  • Endocrinology
  • Public Health

Background:

  • Hypertension and diabetes mellitus are significant comorbidities, increasing cardiovascular risk.
  • Effective blood pressure (BP) control is crucial for mitigating complications in diabetic patients.
  • Current BP management strategies in hypertensive diabetics require evaluation.

Purpose of the Study:

  • To assess the level of blood pressure control achieved in patients with both hypertension and diabetes.
  • To identify the antihypertensive medications commonly prescribed for this patient population.

Main Methods:

  • A cross-sectional study was conducted at King Abdul-Aziz University Hospital, Jeddah.
  • Data collected included patient demographics, diabetes and hypertension history, and prescribed antihypertensive agents.
  • Patients were categorized into four groups based on systolic and diastolic BP levels.

Main Results:

  • Out of 230 hypertensive diabetics, a majority had uncontrolled blood pressure, with 44.8% in the highest systolic BP group and 43.9% in the highest diastolic BP group.
  • Only 2.2% achieved optimal systolic BP (< or = 120 mmHg) and 3% optimal diastolic BP (< or = 80 mmHg).
  • Angiotensin-converting enzyme inhibitors were the most frequently used agents (70.9%), followed by diuretics (43%).

Conclusions:

  • A significant proportion of hypertensive diabetic patients do not achieve recommended blood pressure targets.
  • Enhanced patient education and physician adherence to treatment guidelines are necessary for improving BP control.
  • Further research into optimizing antihypertensive regimens for diabetics is warranted.
Abstract

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