Control of Hypertension among Type II Diabetics

El-Shafie, Kawther; Rizvi, Sayed

doi:10.5001/omj.2010.8

Cited by 11 publications

(11 citation statements)

References 17 publications

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“…Previous studies among Omani patients, at primary health care centers reported similar results. [10][11][12] Our blood pressure control results are similar to tertiary centers in Saudi Arabia, the United Arab Emirates, and Lebanon. [22][23][24] Other studies reported it at 11-36%.…”

Section: Discussionsupporting

confidence: 88%

“…[10][11][12] This study assessed the quality of diabetes care at Sultan Qaboos University Hospital (SQUH), a countrywide tertiary referral center in Oman, through the evaluation of HbA 1C , blood pressure, serum lipids and urine albumin/creatinine ratio in a sample of Omani T2D patients. The assessment was done using the American Diabetes Association (ADA) standards of medical care in diabetes and guidelines from the American National Cholesterol Education Program III NCDP NIII Adult Treatment Panel (ATP).…”

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confidence: 99%

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Quality of Diabetes Care at Outpatient Clinic, Sultan Qaboos University Hospital

et al. 2015

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Section: Discussionsupporting

confidence: 88%

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confidence: 99%

Quality of Diabetes Care at Outpatient Clinic, Sultan Qaboos University Hospital

et al. 2015

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“…Likewise, Al-Nozha et al (2004) found that males were overall having higher prevalence of DM than females in Riyadh capital, Saudi Arabia. Similar findings have been reported in the neighboring countries, such as in Sultanate Oman (El-Shafie & Rizvi, 2010) and in Kuwait (Ahmed, Waslien, Al-Sumaie, Prakash & Allafi, 2013). In addition, the association between diabetes and gender has been the focus of several studies with varying reports.…”

Section: Discussionsupporting

confidence: 67%

“…A study conducted in Spain showed that the presence of diabetes was significantly associated with high blood pressure (OR 2.26 [1.77,2.87]) (Soriguer et al, 2012). Another a study from Sultanate Oman found that 70% of the diabetic patients were found to have high blood pressure (El-Shafie & Rizvi, 2010). Likewise, elsewhere studies have been reported that the risk of diabetes was greater in individuals with hypertension than in those without (Xia et al, 2013;Akter et al, 2014;Zaman & Borang, 2014).…”

Section: Discussionmentioning

confidence: 93%

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Diabetes Mellitus and Its Associated Risk Factors among adult Population in Bisha Province, Southwest of Saudi Arabia

Al-Shahrani¹,

Alsaleem²,

O’haj³

et al. 2016

GJHS

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Objectives: To determine the prevalence and associated risk factors of diabetes mellitus (DM) among the adult population in Bisha province, Saudi Arabia. Methods:A cross sectional study was conducted during December, 2015 using the World Health Organization STEPS wise approach for data collection. Blood glucose level and anthropometric measurements of blood pressure, height, weight, and waist circumference were performed per standard methods. Logistic regression analysis was used to assess the prevalence and risk of diabetes. Results:Of 542 adult individuals included in the study, 13.3% (72) had diabetes, of which 8.1% were previously diagnosed and 5.2% represented new cases. The proportions of DM were 14.7% for men and 10.8% for women. Diabetes was significantly higher among married compared to unmarried individuals (19.3% vs 5.5 %; p<0.001) and among individuals aged ≥40 years old compared to those <40 years (31.3% vs 9.3%; p<0.001). The risk of diabetes was significantly increased with older age (Odds Ratio=4.470; 95% CI 2.264-7.614), married individuals (OR=4.097; 95% CI 2.188-7.672), weight/obesity (OR=2.827; 95% CI 1.567-5.072), hypertension (OR=4.383; 95% CI 2.085-9.214) and having a job (OR=2.327; 95% CI 1.347-4.02). The independent risk factors predicted diabetes were hypertension (Adjusted OR=2.897; 95% CI 1.269-66.13) and job patterns (Adjusted OR=2.793; 95% CI 1.064-7.329).Conclusion: Different risk factors alarming diabetes among adult population in Bisha province were detected. Strategies aimed to improving a healthy lifestyle are necessary to reduce the burden of the disease.

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Suboptimal Blood Pressure Control, Associated Factors, and Choice of Antihypertensive Drugs among Type 2 Diabetic Patients at KCMC, Tanzania

Mbwete

Kilonzo

Shao

et al. 2020

Journal of Diabetes Research

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Background. Hypertension (HTN) can be present in up to two-thirds of patients living with diabetes mellitus (DM). It is a risk factor for the development of diabetes as well as complications like coronary artery disease (CAD), nephropathy, retinopathy, and neuropathy. Hypertension is treatable, and the degree to which it is controlled determines the risk of development of cardiovascular diseases and other complications in a given individual patient. Even though antihypertensive drugs are available and issued to hypertensive diabetic patients, the rate of control of HTN is often inadequate. The aim of this study was to assess the prevalence of suboptimal blood pressure (BP) control, its associated factors, and the choice of antihypertensive drugs among type 2 DM patients at Kilimanjaro Christian Medical Centre (KCMC). Methods. A hospital-based cross-sectional study was conducted at the KCMC diabetes clinic from October 2018 to March 2019 among type 2 DM patients with HTN based on the inclusion criteria. Data were collected using structured questionnaires, and written informed consent was obtained. Suboptimal BP was defined as BP levels≥140/90 mmHg according to the American Diabetes Association guideline published in 2018. Data analysis was done using the Statistical Package for the Social Sciences (SPSS) version 25. Chi-square analysis was done to identify the independent predictors of BP control, and a p value of <0.05 was considered to be statistically significant. Results. The data of 161 participants was analysed; the mean age was 63.9±20.2 years, with the majority being females (67.1%). Despite all participants being on different classes of antihypertensives, 57.8% had suboptimal BP control. Among the participants with good BP control, 52.7% were on angiotensin-converting enzyme inhibitors (ACE-I). Poor diabetes control was observed in 50.1% participants as indicated by elevated glycated haemoglobin. Conclusion. This study demonstrated that BP control in type 2 DM patients was suboptimal in more than half of the participants. The study showed that the use of ACE-I or angiotensin II receptor blockers (ARBs) in the majority of DM patients has a good impact in the control of blood pressure. The early initiation of ACE-I or ARBs among the diabetic patients will improve the optimal BP control.

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Control of Hypertension among Type II Diabetics

Abstract: Only 30% of the BP of the hypertensive diabetics met the recommended BP for diabetes. More effort should be dedicated to control the BP in diabetics. Physicians should be careful in the selection of hypertensive medications, because in some combinations, they are not useful.

Cited by 11 publications

References 17 publications

Quality of Diabetes Care at Outpatient Clinic, Sultan Qaboos University Hospital

Quality of Diabetes Care at Outpatient Clinic, Sultan Qaboos University Hospital

Diabetes Mellitus and Its Associated Risk Factors among adult Population in Bisha Province, Southwest of Saudi Arabia

Suboptimal Blood Pressure Control, Associated Factors, and Choice of Antihypertensive Drugs among Type 2 Diabetic Patients at KCMC, Tanzania

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