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Structured hypertension education program for people with type 2 diabetes, the SHED study
Mohamed Hassanein1, Mick John Kumwenda2, Kamel Hemida3
1Glan Clwyd Hospital, Renal and Diabetes, Rhyl, Denbighshire, UK; Dubai Hospital Dubai, Dubai, United Arab Emirates.
Diabetes Research and Clinical Practice
|March 26, 2021
Summary
A structured hypertension education program significantly improved blood pressure control in type 2 diabetes patients. This intervention led to more patients reaching target BP and a reduced need for antihypertensive medications.
Area of Science:
- Cardiology
- Endocrinology
- Public Health
Background:
- Patient education and lifestyle modifications are proven beneficial for diabetes care.
- Evidence for improving hypertension management in diabetic patients through education is less robust.
- This study is the first in the UK to evaluate a structured hypertension education program for type 2 diabetes patients.
Purpose of the Study:
- To assess the impact of a structured hypertension education program on blood pressure control in individuals with type 2 diabetes.
- To determine if the education program reduces the need for antihypertensive medication escalation.
- To provide evidence for structured educational interventions in managing comorbid hypertension in type 2 diabetes.
Main Methods:
- A prospective randomized controlled study was conducted.
- 132 participants from a UK district general hospital diabetes clinic were randomized into intervention and control groups.
- The intervention group received weekly education sessions for 4 weeks, home blood pressure monitoring, and adjusted antihypertensive dosages, with follow-up at 3 and 6 months.
Main Results:
- A significantly higher percentage of participants in the intervention group achieved target blood pressure compared to the control group at 3 months (48.8% vs. 20.4%, p=0.007) and 6 months (58.1% vs. 20.4%, p<0.001).
- The intervention group required a significantly lower mean increase in antihypertensive pills (0.22 ± 0.48) compared to the routine care group (0.62 ± 0.68, p=0.014).
- This indicates a reduced need for treatment escalation in the intervention group.
Conclusions:
- The structured education program effectively increased the proportion of type 2 diabetes patients achieving blood pressure targets.
- The intervention led to a significant reduction in the number of antihypertensive medications needed.
- Structured education programs are a valuable tool for managing hypertension in patients with type 2 diabetes.
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