Key result
Indian health care providers managing diabetes and hypertension reported high adherence to guidelines, with 88% recommending home blood pressure monitoring.
Why the study?
The study evaluated the perceptions and practices of Indian health care providers regarding the management of hypertension in patients with diabetes.
Cross-Sectional (n=2,513)
Yes
A survey of Indian healthcare providers indicates high awareness and adherence to clinical guidelines for managing hypertension in diabetic patients, with a preference for RAS blockers and CCBs.
Indian providers report guideline-concordant hypertension care in diabetes; leaves open whether this improves population BP control or outcomes.
OBJECTIVES: This study evaluated the perception and practices of health care providers (physicians, diabetologists, and endocrinologists) regarding the treatment of hypertension in patients with diabetes in India. METHODS: Health care providers throughout India who treated patients with diabetes and hypertension were invited to participate in an online survey and periodic 21 virtual meetings. They were questioned about their perception and practices in managing these patients, and strategies to improve blood pressure (BP). RESULTS: The online survey was completed by 2,513 health care providers, and 344 participated in virtual meetings. More than 50% reported that 31-50% of their patients with diabetes also had hypertension. Home BP monitoring was recommended by 88%, and lifestyle modifications were consistently recommended. Choice of antihypertensive treatment varied based on comorbidities, and a renin-angiotensin system blocker plus a calcium channel blocker (CCB) was the most common combination for dual antihypertensive therapy. Suggested strategies to improve BP control included patient awareness/education, lifestyle modifications, better follow-up/monitoring, and optimization of therapy. CONCLUSION: Indian health care providers were aware of clinical recommendations and practices regarding treatment of patients with diabetes and hypertension, and generally make clinical decisions consistent with current guidelines. Optimization of care for these patients is essential to reduce cardiovascular disease risk and improve patient outcomes.
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Ram et al. (2022) conducted a cross-sectional in Hypertension in patients with diabetes (n=2,513). Survey of perceptions and practices regarding hypertension management was evaluated on Perception and practices in managing patients with diabetes and hypertension. Indian health care providers managing diabetes and hypertension reported high adherence to guidelines, with 88% recommending home blood pressure monitoring.
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