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Diabetics and uncontrolled HT. (Hypertension).
Nearly 80% of U.S. patients with diabetes and hypertension do not have their blood pressure adequately controlled, based on a random patient sample in 1999.
The actual extent of hypertension control today in patients with diabetes may very well be even worse than this estimate, Brian Nightengale, Ph.D., said in a poster presentation at the annual scientific sessions of the American Diabetes Association.
The analysis was based on a goal blood pressure for patients with diabetes of less than 130/85 mm Hg. But this past spring, the federally sponsored National Diabetes Education Program set a new blood pressure goal of less than 130/80 mm Hg.
Achieving a blood pressure this low usually requires treatment with at least three or four antihypertensive medications, commented Dr. John Buse of the University of North Carolina at Chapel Hill. Drugs that block the renin-angiotensin system are the first choice for treating hypertension in a patient with diabetes.
A random sample of 5,167 of all patients with hypertension in 12 U.S. health plans was selected for a detailed chart review. Nearly 22% of these patients also had diabetes.
Among the patients with both disorders, 21% had a blood pressure of less than 130/85 mm Hg. In contrast, 42% of the more than 4,000 patients with hypertension but without diabetes reached their goal ...
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Source: HighBeam Research, Diabetics and uncontrolled HT. (Hypertension).