Hypertensive diabetic patients: guidelines for conduct and their difficulties
| Autor: | Weimar K. S. Barroso, Paulo César B. V. Jardim, Thiago S. V. Jardim, Cláudio T. S. Souza, Alessandro L. A. Magalhães, Fuad M. Ibrahim, Priscila V. O. Couto, Andrea Silveira, Estelamaris T. Monego |
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| Jazyk: | English<br />Portuguese |
| Rok vydání: | 2003 |
| Předmět: | |
| Zdroj: | Arquivos Brasileiros de Cardiologia, Vol 81, Iss 2, Pp 143-147 (2003) |
| Druh dokumentu: | article |
| ISSN: | 0066-782X 1678-4170 |
| DOI: | 10.1590/S0066-782X2003001000003 |
| Popis: | OBJECTIVE: To assess the effect of blood pressure (BP) control and other cardiovascular risk factors in patients with diabetes mellitus in a referral service for the treatment of hypertension. METHODS: A retrospective study where diabetic patients (at least 2 fasting glucose levels above 126 mg/dL, use of hypoglycemic agents or insulin, or both of these) were included. They were evaluated at the first appointment (M1) and at the last appointment (M2), regarding blood pressure, body mass index (BMI), use of hypertensive drugs, glycemia, total cholesterol (TC), creatinine, and potassium. RESULTS: Of 1,032 patients studied, 146 patients with a mean age of 61.6 years had diabetes, and 27 were men (18.5%). Mean follow-up was 5.5 years. BP values were 161.6 x 99.9 mmHg in M1 and 146.3 x 89.5 mmHg in M2. In M1, 10.4% of the patients did not use medications, 50.6% used just 1 drug, 30.8% used 2 drugs, and 8.2% used 3 or more drugs. In M2, these values were 10.9%, 39%, 39.7%, and 10.4%, respectively. Diuretics were the most commonly used medication, whereas angiotensin-converting enzyme inhibitors (ACE inhibitors) were those drugs which presented greater increase when comparing M1 to M2 (24.6% and 41.7%, respectively). Only 17,1% reached the recommended goal (BP |
| Databáze: | Directory of Open Access Journals |
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