Attainment of target blood pressure and patterns of antihypertensive therapy in type 2 diabetic hypertensive Asian Indians

Abstract

Objective: To determine the blood pressure goal attainment and pattern of antihypertensive therapy in type 2 diabetic hypertensive patients. Design and setting: An observational study done in a tertiary care hospital in Northern India. Subjects and methods: Diabetic hypertensive patients visiting the endocrinology outpatient department were enrolled in the study. Information was gathered on the patient’s demographic and clinical data. Blood pressure values less than 130/80 mmHg were considered to be controlled. Results: Of the 320 patients studied, only 11.2% had their blood pressure controlled, as per JNC 7 guidelines. A majority (60%) of the patients were treated with multidrug regimen. Angiotensin converting enzyme inhibitor and angiotensin receptor blockers were prescribed to 93.8% of the patients. Conclusion: Despite a good use of antihypertensive agents, 88.8% of the patients had uncontrolled blood pressure, and hence microvascular and macrovascular complications were more prevalent among this population.