Comparison of effectiveness of treatment of arterial hypertension in patients with concomitant type 2 diabetes and without diabetes
Journal Title: Medycyna Ogólna i Nauki o Zdrowiu - Year 2012, Vol 18, Issue 1
Abstract
Introduction: Arterial Hypertension (AH) occurs twice as frequently among patients with diabetes than in the total population. Pharmacological treatment of patients with type 2 diabetes usually requires the application of a greater number of drugs in order to obtain the target values of arterial pressure.Objective: The objective of the presented study was comparison of the number of hypotensive drugs applied and arterial pressure values in individuals with and without type 2 diabetes among patients receiving treatment in a sanatorium of a cardiologic profile.Material and methods: The analysis covered 600 patients with AH, hospitalized during the period 2005-2009 in the Sanatorium in Nałęczów. 300 diabetes negative patients and 300 type 2 diabetes positive patients were selected from medical documentation by means of random stratified sampling.Results: The age of patients with AH and concomitant diabetes was 59.6±10.4, on average, (range 27-81), and did not significantly differ from that of patients without diabetes (58.5±13.8, on average, range 37-80; p=0.67). Among patients with AH and concomitant diabetes, higher values of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were noted, compared to the subgroup of patients with AH, but without diabetes (141±6.2/90.1±4.6 mmHg vs. 138.6±3.5/87.5±3.5 mmHg; respectively p<0.001 for SBP and p<0.001 for DBP). The subgroup of patients with diabetes and AH received a greater number of hypotensive drugs (2.25±0.98 vs. 1.97±1.1; p=0.001). The risk of uncontrolled AH (R<140/90 mmHg) was approximately 12-fold higher among patients with type 2 diabetes, compared to those without diabetes.Conclusions: Diabetes is an independent factor which hinders the control of arterial blood pressure in patients. In order to obtain normal blood pressure values in diabetes, the application of a greater number of hypotensive drugs is required, compared to patients without diabetes.Key wordsdiabetes mellitus type 2, arterial hypertension, epidemiology
Authors and Affiliations
Jarosław Niedziałek, Grzegorz Mizerski, Rafał Gorczyca, Andrzej Jaroszyński
Keywords
Related Articles
- EP ID EP68860
- DOI -
- Views 158
- Downloads 0
Kryteria oceny rozwoju motorycznego uczniów szkół podstawowych
[b]Wprowadzenie.[/b] Rozwój motoryczny dzieci jest kluczowym wyznacznikiem ich rozwoju fizycznego. Z roku na rok obserwuje się spadek umiejętności motorycznych u dzieci. Najważniejszymi kryteriami, które wyznaczają pozio...
Problems with assessment of relationship between contents of fatty tissue and caloric value of diet among pre-school children
Pre-school period is a period of intensive psycho-physical development of children, as well as the time of shaping nutritional habits and taste preferences.The objective of the study is the assessment of the BMI index a...
Low back pain syndromes and farmers’ occupational activity
Farmers are the largest occupational group in Poland performing hard manual labour which exerts an unfavourable effect on the spine and, therefore, are more exposed to low back pain syndromes (LBPS). The objective of th...
Gastrointestinal tract changes in the course of Henoch-Schönlein purpura – Case report
Henoch-Schönlein purpura is a systemic vasculitis of the skin, joints, GI tract, and kidney. The case is presented of a 71-year-old male with HSP, hospitalised due to abdominal pain, diarrhea, arthralgia, and skin rash....
Poziom satysfakcji pacjenta jako jeden z aspektów jakości opieki medycznej
[b]Wprowadzenie[/b]. W dzisiejszych czasach troska o jakość oferowanych przez świadczeniodawców usług medycznych jest nie tylko sposobem bycia konkurencyjnym na rynku medycznym, ale przede wszystkim wiąże się z możliwośc...