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Published on: February 28, 2013
Importance and efficiency of blood pressure control not only in type 2 diabetes patients
Insights
Type 2 diabetes patients have high rates of arterial hypertension, significantly increasing cardiovascular risk. Blood pressure control is insufficient in Czech diabetics, necessitating improved management strategies.
Area of Science:
- Cardiology
- Endocrinology
- Public Health
Background:
- Arterial hypertension is a common comorbidity in type 2 diabetes, occurring at rates three times higher than in the general population.
- The coexistence of type 2 diabetes and arterial hypertension elevates cardiovascular risk by two to three times.
- Current Czech Hypertension Society guidelines recommend strict blood pressure control to 130/80 mmHg for diabetic patients.
Purpose of the Study:
- To assess the current status of blood pressure control in the Czech diabetic population.
- To highlight the gap between recommended and achieved blood pressure targets.
- To identify potential strategies for improving blood pressure management in this high-risk group.
Main Methods:
- Analysis of data from the EHES Study (European Health Examination Survey) focusing on Czech diabetic patients.
- Evaluation of blood pressure readings and comparison with established hypertension guidelines.
- Review of potential interventions for enhancing blood pressure control.
Main Results:
- Blood pressure control is inadequate in the Czech diabetic population, with only 29% achieving target values.
- A significant proportion of diabetic patients do not meet the recommended 130/80 mmHg blood pressure target.
- This underscores a critical unmet need in managing hypertension within this patient group.
Conclusions:
- Improved systems of care are crucial for better blood pressure management in type 2 diabetes.
- Intensive antihypertensive treatment regimens should be considered.
- Patient self-monitoring and appointment reminder systems may enhance adherence and control.
Abstract:
Arterial hypertension is one of the most frequent comorbidities of patients with type 2 diabetes, the rates are approximately three times higher among diabetics than in general population. The presence of both diseases increases the cardiovascular risk of the patients two to three times. Therefore, it is essential to control the blood pressure values vigorously down to 130/80 mmHg as recommended in guidelines of the Czech Hypertension Society. According to EHES Study data, the blood pressure control is not sufficient in Czech diabetic population. The target values are reached in only 29 % of diabetics. A well organized system of care, intensive antihypertensive treatment, self-monitoring of patients or appointment reminder system can be used to improve blood pressure control.
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