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Blood pressure control among type 2 diabetics
1Department of Family and Community Medicine, Armed Forces Hospital, Wadi Al-Dawasir, Kingdom of Saudi Arabia. ashehri23@yahoo.com
Saudi Medical Journal
|May 6, 2008
Summary
Blood pressure control is poor in most type 2 diabetes patients in primary care, with only 14.2% achieving target levels. Poor control links to obesity and complications, highlighting the need for better management strategies.
Area of Science:
- Cardiology
- Endocrinology
- Primary Health Care Research
Background:
- Diabetes mellitus type 2 (DM type 2) is a growing global health concern.
- Hypertension is a common comorbidity in patients with DM type 2.
- Effective blood pressure (BP) management is crucial for preventing diabetes-related complications.
Purpose of the Study:
- To evaluate the status of blood pressure control among patients with DM type 2 receiving care in a primary health care setting.
- To identify factors associated with BP control in this population.
Main Methods:
- A cross-sectional study was conducted involving 403 patients with DM type 2 at King Fahad Military Complex Hospital.
- Data were collected from medical records using a pre-coded checklist between August 2003 and February 2004.
- Systematic random sampling was employed to select patient records.
Main Results:
- Hypertension prevalence was 57.8% among DM type 2 patients, with no significant gender difference.
- Only 14.2% of hypertensive diabetic patients achieved controlled blood pressure.
- Poor BP control was significantly associated with obesity and higher complication rates; it correlated positively with age and negatively with the duration of diabetes and hypertension.
Conclusions:
- Blood pressure management in patients with DM type 2 requires enhanced attention from healthcare professionals, particularly primary care physicians.
- Adherence to updated BP management guidelines is essential for reducing complications.
- Increasing patient awareness through continuous health education is vital for improving BP control.
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