Key result
The prevalence of hypertension in Spanish adults with type 2 diabetes increased from 89.78% in 2003 to 94.76% in 2009, while the proportion of treated patients achieving blood pressure control (<130/80 mmHg) improved from 16.71% to 28.79%.
Cross-Sectional (n=22,123)
Yes
Absolute Event Rate: 94.76% vs 89.78%
p-value: p=<0.001
Although hypertension diagnosis and control in patients with type 2 diabetes improved significantly between 2003 and 2009, blood pressure control remains suboptimal.
Despite modest gains, BP control remains inadequate in most treated Spanish adults with type 2 diabetes; leaves open whether targeted strategies can further close this gap.
In patients with type 2 diabetes, the prevalence of hypertension is higher than in non-diabetic subjects. Despite the high cardiovascular risk involving hypertension in these patients, its prevalence and control are not well known. The aims of this study were: to estimate the hypertension prevalence, awareness, treatment and control in Spanish adults with type 2 diabetes attended in Primary Care; and to analyse its time trend from 2003 to 2009. A serial cross-sectional study from 2003 to 2009 was performed in 21 Primary Care Centres in Madrid. The study population comprised all patients with diagnosed type 2 diabetes in their computerised medical history. Overall annual prevalence during the period 2003-2009 was calculated from and according to sex and age groups. Linear trend tests, regression lines and coefficients of determination were used. In 2003 89.78% (CI 87.92-91.64) of patients with type 2 diabetes suffered hypertension and 94.76% (CI: 92.85-96.67) in 2009. This percentage was greater for women and for patients over 65 years old. 30% of patients suffered previously undiagnosed hypertension in 2003 and 23.1% in 2009. 97% of diagnosed patients received pharmacological treatment and 28.79% reached the blood pressure objective in 2009. The average number of antihypertensive drugs taken was 2.72 in 2003 and 3.27 in 2009. Only 5.2% of patients with type 2 diabetes show blood pressure levels below 130/80 mmHg. Although significant improvements have been achieved in the diagnosis and control of hypertension in people with type 2 diabetes, these continue to remain far from optimum.
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Burgos‐Lunar et al. (2014) conducted a cross-sectional in Type 2 Diabetes and Hypertension (n=22,123). Time period (2009 vs 2003) vs. 2003 baseline was evaluated on Prevalence of hypertension (p=<0.001). The prevalence of hypertension in Spanish adults with type 2 diabetes increased from 89.78% in 2003 to 94.76% in 2009, while the proportion of treated patients achieving blood pressure control (<130/80 mmHg) improved from 16.71% to 28.79%.