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June 1, 2000Blood Pressure Monitoring

A cross-over evaluation of different methods and devices to measure blood pressure in type 1 diabetic patients with nephropathy

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Why the study?

Do different methods and devices for blood pressure measurement yield different values in type 1 diabetic patients with nephropathy?

Population

21 treated hypertensive type 1 diabetic patients with overt diabetic nephropathy, mean age 45+/-9 years…

Comparison

Blood pressure self-monitoring using three… vs Office blood pressure measurement by a physician…

Design

Cross-sectional, Random order for the sequence of the three self-monitoring…

Follow-up

3 weeks

Authors

THTim HeiseProfil Institute for Metabolic ResearchKMK MagnussonNational Institute of Occupational HealthBGBernd GröbelProfil Institute for Metabolic Research

Discussion

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Implication

Office BP may overestimate values in type 1 diabetic nephropathy; hypothesis-generating for ambulatory or self-monitoring preference.

Key Points

  • This research aims to compare blood pressure measurements from different methods in type 1 diabetic patients with nephropathy.
  • Twenty-one treated hypertensive type 1 diabetic patients participated.
  • Blood pressure was measured in office, at home using three devices, and under ambulatory conditions.
  • Measurements were conducted over a 3-week period with random device use.
  • Mean office blood pressure was significantly higher than ambulatory (P<0.05) and self-monitoring values (P<0.05).
  • No statistically significant difference was found between ambulatory and self-monitoring values.
  • The oscillometric wrist device showed a trend towards higher diastolic values compared to upper-arm devices (P=0.065).

Structured PICO

Do different methods and devices for blood pressure measurement yield different values in type 1 diabetic patients with nephropathy?

P
Population
21 treated hypertensive type 1 diabetic patients with overt diabetic nephropathy, mean age 45+/-9 years, duration of diabetes 33+/-12 years.
I
Intervention
Blood pressure self-monitoring using three different devices (sphygmomanometer, upper-arm oscillometer, and wrist oscillometer) for 1 week each in random order.
C
Comparator
Office blood pressure measurement by a physician and daytime ambulatory blood pressure measurement.
O
Outcome
Blood pressure values obtained by the different measurement methods and devices.surrogate

Office blood pressure measurements may overestimate blood pressure compared to ambulatory and self-monitoring methods in patients with type 1 diabetes and nephropathy, and upper-arm devices are preferred over wrist devices for self-monitoring.

Cite This Study

Heise et al. (2000) studied this question.

synapsesocial.com/papers/6a72c4138031ec7bb1dd7bd5https://doi.org/10.1097/00126097-200006000-00006

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Discrepancy Between Tonometric Ambulatory and Cuff‐Based Office Blood Pressure Measurements in Patients With Type 1 Diabetes2012 · 4 citations
  2. 2Ambulatory Blood Pressure Measurement in Type 2 Diabetic Patients: Methodological Aspects1991 · 21 citations
  3. 3Assessment of blood pressure in patients with Type 2 diabetes: comparison between home blood pressure monitoring, clinic blood pressure measurement and 24‐h ambulatory blood pressure monitoring2001 · 49 citations
  4. 4Day and night variation in ambulatory blood pressure in type 1 diabetes mellitus with nephropathy and autonomic neuropathy1993 · 39 citations
  5. 5An Assessment of Blood Pressure Measurement in a Diabetic Clinic Using Random-zero, Semi-automated, and 24-hour Monitoring1997 · 14 citations