Despite overall improvements, blood pressure control remains suboptimal in clinical practice, particularly in failing to meet tighter guideline recommendations for patients with diabetes.
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Suboptimal BP control persists in practice, especially for diabetics; leaves open how best to close persistent guideline gaps.
Although overall BP control has improved, BP measurements still exceeded recommended levels in most patients. For patients with diabetes and renal disease BP was much better controlled in the more recent sample. However, BP control of patients with diabetes was similar to that of patients without diabetes, and not in agreement with the guideline-recommended tighter control. Thus, room for improvement remains, especially in this subgroup.
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Borzecki et al. (2003) studied this question.
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