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March 5, 2021
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March 5, 2021
Published
March 5, 2021
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Abstract

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.

Keywords

Blood pressure Basrah Diabetes mellitus Hypertension

Article Details

References

  1. Grossman E, Messerli FH. Diabetic and hypertensive heart disease. Ann Intern Med 1996: 15; 125: 304-310.
  2. 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.
  3. Satman I, Yilmaz T. Population-based study of diabetes and risk characteristics in Turkey. Diabetes Care 2002;25:1551-1556.
  4. Makhlough A, Akha O, Rashidighader F. Prevalence of Hypertension in Diabetic Patients in Sari, Iran. Research Journal of Biological Sciences 2008;3:438-440.
  5. Mansour AA. Prevalence and control of hypertension in Iraq diabetic patients: A prospective cohort study. Open Cardiovasc Med J 2012;6:68-71.
  6. Fong DS, Aiello LP, Ferris FL 3rd, Klein R. Diabetic retinopathy. Diabetes Care 2004;27:2540-2553.
  7. 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.
  8. 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.
  9. Bell DS. Treatment of diabetic hypertension. Diabetes Obes Metab 2009; 11: 433-444.
  10. Sowers JR, Epstein M. Diabetes Mellitus and Associated Hypertension, Vascular Disease, and Nephropathy. Hypertension 1995; 26: 869-879.
  11. 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].
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. Tseng CH. Body mass index and blood pressure in adult type2 diabetic patients in Taiwan. Circ J. 2007;71(11):1749-1754.
  17. Mooradian AD. Cardiovascular Disease in Type 2 Diabetes Mellitus: Current Management Guidelines. Arch Intern Med. 2003;163(1):33-40.
  18. 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.
  19. 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.
  20. Moshtak A. Prevalence of hypertension and diabetic dysfunction in patients with type 2 DM. Karbala J Med 2009;2(6):403-408.
  21. Roaeid RB, Kadiki OA. Prevalence of long-term complications among Type 2 diabetic patients in Benghazi, Libya. Journal of Diabetology 2011; 3:5
  22. 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.
  23. 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.
  24. Makhlough A, Akha O, Rashidighader F. Prevalence of Hypertension in Diabetic Patients in Sari, Iran. Research Journal of Biological Sciences 2008;3:438-440.
  25. 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.
  26. 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.
  27. 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.
  28. Mansour AA . Prevalence and control of hypertension in Iraq diabetic patients: A prospective cohort study. Open Cardiovasc Med J 2012;6:68-71.
  29. 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.
  30. 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.
  31. 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.
  32. 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.
  33. 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.
  34. 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.
  35. 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.
  36. 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.

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