Why the study?
Factors associated with poor blood pressure control in patients with comorbid hypertension and type 2 diabetes needed to be identified.
What factors are associated with uncontrolled blood pressure in patients with hypertension and type 2 diabetes?
What factors are associated with uncontrolled blood pressure in patients with hypertension and type 2 diabetes?
In patients with hypertension and type 2 diabetes, having retinopathy and not receiving DPP4 inhibitors were independently associated with uncontrolled blood pressure.
Uncontrolled hypertension common in T2DM; retrospective data leaves open which factors drive poor control.
In this retrospective study, the medical records of hypertensive patients with type 2 diabetes attending two major hospitals were reviewed to find the factors associated with poor blood pressure control in patients who have diabetes as a comorbid disease with hypertension. Binary regression analysis was conducted to find the factors independently associated with BP control. A total of 522 participants were included in the study. Most of the participants had uncontrolled hypertension (63.4%) and uncontrolled type 2 diabetes (51.3%). Regression results revealed that having retinopathy (OR=1.468 (95% CI: 1.020-2.113), p<0.05), and not receiving dipeptidyl-peptidase 4 (DPP4) inhibitors were independently associated with uncontrolled BP (OR=0.633 (95%CI 0.423-0.946), p<0.05). Therefore, greater efforts should be exerted to improve BP control in hypertensive patients with type 2 diabetes, particularly in those suffering from retinopathy.
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Jarab et al. (2023) studied this question.
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