Hypertension and Blood Pressure Pattern Among Type 2 Diabetic Patients
Keywords:
Blood pressure, Basrah, Diabetes mellitus, HypertensionAbstract
Background: Hypertension was reported to be approximately twice as common in persons with diabetes as in those without diabetes. Objectives: To estimate the prevalence of hypertension and pattern of blood pressure among patients with type 2 diabetic patients in Basrah. Methods: This cross-sectional study was conducted on a convenience sample of 185 type 2 diabetic patients attending the Diabetic Center in Al-Fahyaa General Hospital and Al-Sadr Teaching Hospital during the period from January to March 2015. Data were collected through an interview questionnaire and laboratory investigations. Results: The prevalence of hypertension (BP ≥140/90 mmHg or on medication for high blood pressure) was 73% (50.8% old hypertensives and 22.2% newly diagnosed). Only 20.2% of the old hypertensive patients were with controlled blood pressure. Age, body mass index, and poor glycemic control were found to be significantly associated with hypertension. Conclusion: Hypertension is a common co-morbid disease among diabetic patients in Basrah, and a large proportion of those with hypertension had uncontrolled blood pressure.References
Grossman E, Messerli FH. Diabetic and hypertensive heart disease. Ann Intern Med 1996: 15; 125: 304-310.
Libby P, Nathan DM, Abraham K, Brunzell JD. Report of the National Heart, Lung and Blood Institute: National Institute of Diabetes and Digestive and Kidney Diseases Working Group on Cardiovascular Complications of DM. Circulation 2005;111:3489-3493.
Satman I, Yilmaz T. Population-based study of diabetes and risk characteristics in Turkey. Diabetes Care 2002;25:1551-1556.
Makhlough A, Akha O, Rashidighader F. Prevalence of Hypertension in Diabetic Patients in Sari, Iran. Research Journal of Biological Sciences 2008;3:438-440.
Mansour AA. Prevalence and control of hypertension in Iraq diabetic patients: A prospective cohort study. Open Cardiovasc Med J 2012;6:68-71.
Fong DS, Aiello LP, Ferris FL 3rd, Klein R. Diabetic retinopathy. Diabetes Care 2004;27:2540-2553.
Tesfaye S, Chaturvedi N, Eaton SE, Ward JD, Manes C, Ionescu-Tirgoviste C, et al. Vascular risk factors and diabetic neuropathy. N Engl J Med. 2005;352:341-350.
Schutta MH. Diabetes and hypertension: epidemiology of the relationship and pathophysiology of factors associated with these comorbid conditions. J Cardiometab Syndr. 2007;2:124-130.
Bell DS. Treatment of diabetic hypertension. Diabetes Obes Metab 2009; 11: 433-444.
Sowers JR, Epstein M. Diabetes Mellitus and Associated Hypertension, Vascular Disease, and Nephropathy. Hypertension 1995; 26: 869-879.
Sicree R, Shaw J, Paul Zimmet Baker PZ,IDI Heart and Diabetes Institute. Diabetes and Impaired Glucose Tolerance International Diabetes Federation, Diabetes Atlas, 4th edition. Available from: blogimages.bloggen.be/diabetescheck/attach/35593.pdf [Accessed on April 4, 2015].
Chew BH, Mastura I, Shariff-Ghazali S, Lee PY, Cheong AT, Ahmad Z, et al. Determinants of uncontrolled hypertension in adult type 2 diabetes mellitus: an analysis of the Malaysian diabetes registry 2009. Cardiovasc Diabetol. 2012;11:54.
Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG, et al. Clinical Practice Guidelines for the Management of Hypertension in the Community A Statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens 2014; 16(1): 14-26.
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311(5):507-520.
Rahmawati F. Prevalence and control of hypertension among diabetes patients in hospital universiti sains Malaysia, Malaysia. Indonesian J. of Pharmacy 2010;21(2): 121-128.
Tseng CH. Body mass index and blood pressure in adult type2 diabetic patients in Taiwan. Circ J. 2007;71(11):1749-1754.
Mooradian AD. Cardiovascular Disease in Type 2 Diabetes Mellitus: Current Management Guidelines. Arch Intern Med. 2003;163(1):33-40.
Al-Khawlani AKM, Raja Y, Al-Ansi AQ. Hypertension in Yemeni patients with type II diabetes and its association with vascular complications. Heart Views 2009;10(2): 56-62.
Colosia AD, Palencia R, Khan S. Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review. Diabetes Metab Syndr Obes. 2013;6:327-338.
Moshtak A. Prevalence of hypertension and diabetic dysfunction in patients with type 2 DM. Karbala J Med 2009;2(6):403-408.
Roaeid RB, Kadiki OA. Prevalence of long-term complications among Type 2 diabetic patients in Benghazi, Libya. Journal of Diabetology 2011; 3:5
Al-Maskari F, El-Sadig M, Norman JN. The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates. Cardiovasc Diabetol. 2007;6:24.
Priya D, Dudhal K, Khakse GM, Meshram R, Hiwarkar PA, Wahab SN. Prevalence of hypertension among type 2 diabetes patients attending diabetes clinic at tertiary care hospital, Nagpur. International Journal of Science, Environment and Technology 2013;2(6):1401-1406.
Makhlough A, Akha O, Rashidighader F. Prevalence of Hypertension in Diabetic Patients in Sari, Iran. Research Journal of Biological Sciences 2008;3:438-440.
Mubarak FM, Froelicher ES, Jaddou HY, Ajlouni KM. Hypertension among 1000 patients with type 2 diabetes attending a national diabetes center in Jordan. Ann Saudi Med. 2008;28(5):346–351.
Berraho M, El Achhab Y, Benslimane A, EL Rhazi1 K, Chikri M, Nejjari C. Hypertension and type 2 diabetes: a cross-sectional study in Morocco (EPIDIAM Study). Pan African Medical Journal 2012;11:52.
Alwakeel JS, Sulimani R, Al-Asaad H, Al-Harbi A, Tarif N, Al-Suwaida A, et al. Diabetes complications in 1952 type 2 diabetes mellitus patients managed in a single institution in Saudi Arabia. Ann Saudi Med. 2008;28(4):260-266.
Mansour AA . Prevalence and control of hypertension in Iraq diabetic patients: A prospective cohort study. Open Cardiovasc Med J 2012;6:68-71.
Baskar V, Kamalakannan D, Holland MR, Singh BM. Does ethnic origin have an independent impact on hypertension and diabetic complications? Diabetes Obes Metab. 2006;8(2):214-9.
Xue B, Zhang Z, Beltz TG, Guo F, Hay M, Johnson AK. Estrogen regulation of the brain renin-angiotensin system in protection against angiotensin II-induced sensitization of hypertension. Am J Physiol Heart Circ Physiol 2014;307(2):H191-198.
Vijayaraghavan M, He G, Stoddard P, Schillinger D. Blood pressure control, hypertension, awareness, and treatment in adults with diabetes in the United States-Mexico border region. Rev Panam Salud Publica 2010; 28:164-173.
Escobar C, Barrios V, Calderón A, Llisterri JL, García S, Rodríguez-Roca GC, et al. Diabetes mellitus in hypertensive population attended in primary care in Spain. Blood pressure and lipid control rates. Rev Clin Esp 2007;207:221-227.
Eguchi K, Ishikawa J, Hoshide S, Pickering TG, Shimada K, Kario K. Masked hypertension in diabetes mellitus: a potential risk. J Clin Hypertens (Greenwich) 2007;9(8):601-607.
Saydah SH, Fradkin J, Cowie CC. Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes. JAMA 2004;291(3):335-342.
Os I, Gudmundsdottir H, Kjeldsen SE, Oparil S. Treatment of isolated systolic hypertension in diabetes mellitus type 2. Diabetes Obes Metab 2006;8(4):381-387.
Chatterjee M, Speiser PW, Pellizzarri M, Carey DE, Fort P, Kreitzer PM, et al. Poor glycemic control is associated with abnormal changes in 24-hour ambulatory blood pressure in children and adolescents with type 1 diabetes mellitus. J Pediatr Endocrinol Metab 2009;22(11):1061-1067.
