What question did this study set out to answer?

To evaluate national trends in the prevalence of type 2 diabetes with comorbid hypertension and blood pressure control rates in the United States between 1988 and 2004.

August 19, 2009Journal of Hypertension

Trends in blood pressure control and treatment among type 2 diabetes with comorbid hypertension in the United States: 1988–2004

View Full Paper

Ask AI

Bookmark

Population

Noninstitutionalized US population of type 2 diabetic patients at least 30 years of age with…

Design

Cross-sectional

Authors

DSDong‐Churl SuhRutgers, The State University of New Jersey CKChul-Min KimSeoul St. Mary's Hospital ICIn‐Sun ChoiKyungpook National University

Discussion

Member takes

Implication

BP control remains inadequate in most diabetic hypertensive patients; extends US trend data but leaves open optimal implementation strategies.

Key Points

To evaluate national trends in the prevalence of type 2 diabetes with comorbid hypertension and blood pressure control rates in the United States between 1988 and 2004.
Analyzed cross-sectional data from NHANES III (1988–1994) and NHANES 1999–2004 among noninstitutionalized US adults aged ≥30 years with diagnosed type 2 diabetes.
Defined hypertension as physician diagnosis, antihypertensive medication use, or blood pressure ≥140/90 mmHg, with blood pressure control defined as <130/80 mmHg.
Used multivariable logistic regression adjusted for demographic and clinical risk factors to assess odds of blood pressure treatment and control.
Age-adjusted prevalence increased from NHANES III to NHANES 1999–2004 for type 2 diabetes (5.8% to 7.1%) and comorbid hypertension (3.9% to 4.7%).
Hypertension treatment with medications or lifestyle modification rose significantly from 76.5% to 87.8% among diabetic individuals with high blood pressure.
Blood pressure control rates (<130/80 mmHg) increased from 15.9% to 29.6%, leaving over 70% of patients with uncontrolled blood pressure by 1999–2004.

Structured PICO

Population

Noninstitutionalized US population of type 2 diabetic patients at least 30 years of age with physician-diagnosed diabetes taking insulin or oral antidiabetic drugs, with comorbid hypertension (physician diagnosis, treatment, or BP ≥140/90 mmHg).

Outcome

Trends in the prevalence of type 2 diabetic patients with comorbid hypertension and blood pressure (BP) control rates (<130/80 mmHg)surrogate

Despite improvements in treatment rates, blood pressure control remains suboptimal in the majority of US patients with type 2 diabetes and hypertension.

Cite This Study

Suh et al. (2009) studied this question.

synapsesocial.com/papers/6a7cd01d87216a423ea46274 https://doi.org/10.1097/hjh.0b013e32832d4aee

Topics

Hypertension management

View Full Paper

Ask AI

Bookmark

Implication

BP control remains inadequate in most diabetic hypertensive patients; extends US trend data but leaves open optimal implementation strategies.

Trends in blood pressure control and treatment among type 2 diabetes with comorbid hypertension in the United States: 1988–2004

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Trends in blood pressure control and treatment among type 2 diabetes with comorbid hypertension in the United States: 1988–2004

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider