Abstract

VALDES RAMOS, Eduardo; VERDECIA SABORIT, Raúl; RIVERA CHAVEZ, Marjoris  and  VALDES BENCOSME, Eduardo. Blood hypertension control in type 2 diabetic persons. Rev Cubana Endocrinol [online]. 2014, vol.25, n.2, pp. 76-86. ISSN 1561-2953.

Objective: to evaluate the blood hypertension control and its relationship with some clinical and biochemical variables in type 2 diabetic persons living in Bayamo, Gramma province. Methods: cross-sectional descriptive study of 382 type 2 diabetic and hypertensive patients, who were admitted to the Center of Care for Diabetic Patient in Bayamo, Gramma province in the period of September 2011 through May 2013. The patients were divided into 2 groups according to the blood hypertension control in terms of controlled and uncontrolled hypertensives. Results: on discharge from hospital, 345 diabetic patients (90.3 %) had reached optimal control of their blood pressure. To attain this goal, it was necessary to use two or more drugs in 68.4 % of cases. The diabetics that did not succeed in this task were older and had longer time of progression of diabetes than those who did (p= 0.0126 y p= 0.0090, respectively). There was remarkable association of lack of glycemic control and uncontrolled blood pressure (OR= 6.82, IC= 3.3-13.9, p= 0.0000). Conclusions: it was necessary to use two or more drugs to reach optimal control of blood pressure in most of the type 2 diabetic patients and to consider different factors such as age, time of diabetes progression and glycemic control.

Keywords : blood hypertension; type 2 diabetes mellitus; blood hypertension control; antihypertensive treatment.

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