Key result
Hypertensive patients with diabetes achieved blood pressure control targets significantly less often than those without diabetes (24.3% vs 60.1%; P<.001).
Why the study?
Does the presence of diabetes mellitus reduce the likelihood of achieving blood pressure control targets in hypertensive patients?
Cross-Sectional (n=1,107)
Yes
Does the presence of diabetes mellitus reduce the likelihood of achieving blood pressure control targets in hypertensive patients?
Absolute Event Rate: 24.3% vs 60.1%
p-value: p=<.001
Hypertensive patients with diabetes have significantly poorer blood pressure control compared to those without diabetes in Malaysian primary care clinics.
May warrant intensified BP monitoring in diabetic hypertensives; leaves open whether diabetes independently predicts control or reflects confounding.
Hypertension is a common comorbidity among diabetic patients. This study aimed to determine blood pressure (BP) control among hypertensive patients with and without diabetes. This was a cross-sectional study in 6 public primary care clinics in Wilayah Persekutuan, Malaysia. Hypertensive patients aged ≥18 years and attending the clinics were selected via systematic random sampling. The BP control target was defined as <130/80 mm Hg for diabetic patients and <140/90 mm Hg for nondiabetic patients. A total of 1107 hypertensive patients participated in this study and 540 (48.7%) had diabetes. About one fourth (24.3%) of the hypertensive patients with diabetes achieved BP control target, compared with 60.1% patients without diabetes (P < .001). Being diabetic and on ≥2 antihypertensive treatments were associated with poor BP control. Attention needs to be given to these groups of patients when managing patients with hypertension.
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Cheong et al. (2013) conducted a cross-sectional in Hypertension (n=1,107). Diabetes mellitus vs. No diabetes mellitus was evaluated on Blood pressure control target (<130/80 mm Hg for diabetic patients and <140/90 mm Hg for nondiabetic patients) (p=<.001). Hypertensive patients with diabetes achieved blood pressure control targets significantly less often than those without diabetes (24.3% vs 60.1%; P<.001).
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