Trends in blood pressure control in patients with type 2 diabetes - Data from the Swedish National Diabetes Register (NDR).
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We assessed blood pressure (BP) trends in patients with type 2 diabetes from a national diabetes register using three cross-sectional samples (aged 30-85 years) in 2005, 2007 and 2009, and in patients from 2005 followed individually until 2009. The prevalence of hypertension was 87% among all 180 369 patients in 2009, although lower in subgroups with ages 30-39, 40-49 and 50-59 years: 40%, 60% and 77%. In the three cross-sectional surveys, mean BP decreased (141/77-136/76 mmHg), uncontrolled BP≥ 140/90 mmHg decreased (58-46%), and antihypertensive drug treatment (AHT) increased (73-81%). Comparatively in 79 185 patients followed individually for 5 years, mean BP decreased (141/77-137/75 mmHg), uncontrolled BP ≥140/90 mmHg decreased (58-47%) and AHT increased (73-82%). Independent predictors of BP decrease were BMI decrease (stronger) and increase in AHT. AHT occurred among 81% of all patients in 2009. In 57 645 patients on AHT followed individually, mean BP decreased (143/77-138/75 mmHg) and uncontrolled BP ≥140/90 mmHg decreased (63-50%). Among 5164 patients with nephropathy on AHT followed individually, BP <130/80 mmHg increased (12-21%). In conclusion, BP control improved from 2005 to 2009, relative to BMI decrease and AHT increase, although still about half had BP ≥140/90 mmHg.
|Enheter & grupper|
Ämnesklassifikation (UKÄ) – OBLIGATORISK
|Status||Published - 2011|
|Peer review utförd||Ja|