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Burden of Diabetes Related Complications Among Hypertensive and Non Hypertensive Diabetics: A Comparative Study

Goutham Kesavamoorthy1, Awnish K Singh2, Shruti Sharma2

  • 1Final Year MBBS Student, Saveetha Young Medical Researchers Group (SYMRG), Saveetha Medical College & Hospital, Faculty of Medicine, Saveetha University , Saveetha Nagar, Chennai, Tamil Nadu, India; Student, Operations Research in Population Health, Foundation of Healthcare Technologies Society, New Delhi, India .

Journal of Clinical and Diagnostic Research : JCDR
|October 27, 2015
PubMed

Insights

Hypertensive individuals with diabetes experience a greater burden of complications, including neuropathy and retinopathy, compared to non-hypertensive diabetics. This highlights the critical need to manage both conditions concurrently.

Area of Science:

  • Medical Science
  • Public Health
  • Endocrinology

Background:

  • Diabetes and hypertension share common risk factors and complications.
  • Concurrent hypertension exacerbates the impact of diabetes on patient health.
  • Understanding complication burden in diabetic patients with and without hypertension is crucial.

Purpose of the Study:

  • To compare the prevalence and impact of diabetes-related complications in individuals with and without co-existing hypertension.
  • To assess the differences in health perception and healthcare utilization between hypertensive and non-hypertensive diabetic patients.

Main Methods:

  • A cross-sectional study involving 100 hypertensive diabetics and 50 non-hypertensive diabetics.
  • Data collection included sociodemographics, general health, diabetes symptoms, physician communication, healthcare utilization, and complication history.
  • Statistical analysis involved calculating means, standard deviations, medians, and proportions.

Main Results:

  • Hypertensive diabetics were older on average (p=.009) and reported poorer self-rated health (p=.03).
  • Higher rates of diabetic neuropathy (45% vs. 38%) and retinopathy were observed in hypertensive diabetics.
  • Hypertensive diabetics were more likely to prepare questions before doctor visits (30% vs. 14%).

Conclusions:

  • Hypertensive diabetics exhibit a higher burden of complications, specifically neuropathy and retinopathy.
  • Co-existing hypertension in diabetes is associated with poorer health perception and increased complication rates.
  • Integrated management strategies are essential for diabetic patients with hypertension.
Abstract

Keywords:
General health scoreHealth distressHealth information seeking behaviour

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