Why the study?
Is ambulatory blood pressure monitoring necessary for the routine assessment of hypertension in people with diabetes compared to careful clinic measurement?
Is ambulatory blood pressure monitoring necessary for the routine assessment of hypertension in people with diabetes compared to careful clinic measurement?
Careful clinic blood pressure measurement has a very high positive predictive value for detecting above-target ambulatory blood pressure in diabetic patients, suggesting routine ABPM may be unnecessary.
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Clinic BP may identify elevated ambulatory BP in diabetes; leaves open whether routine ABPM is needed given low NPV.
Strachan et al. (2002) studied this question.
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