Hypertension and type 2 diabetes: What family physicians can do to improve control of blood pressure - an observational study
2011

Improving Blood Pressure Control in Type 2 Diabetes

Sample size: 570 publication 10 minutes Evidence: moderate

Author Information

Author(s): Wayne Putnam, Beverley Lawson, Farokh Buhariwalla, Mary Goodfellow, Rose Anne Goodine, Jennifer Hall, Kendrick Lacey, Ian MacDonald, Frederick I Burge, Nandini Natarajan, Ingrid Sketris, Beth Mann, Peggy Dunbar, Kristine Van Aarsen, Marshall S Godwin

Primary Institution: Dalhousie University

Hypothesis

What characteristics of patients and providers are associated with achieving target blood pressure levels in community-based practice?

Conclusion

Primary care health professionals should focus on dietary salt intake and medication adherence to improve blood pressure control in patients with type 2 diabetes.

Supporting Evidence

  • 54% of patients achieved target blood pressure levels.
  • Patients eating low-salt diets had higher odds of reaching target blood pressure.
  • Low medication adherence was associated with lower odds of reaching target blood pressure.

Takeaway

Doctors should help patients with diabetes eat less salt and take their medicine regularly to keep their blood pressure healthy.

Methodology

A practice-based, cross-sectional observational study with mailed surveys conducted among patients with type 2 diabetes and hypertension.

Potential Biases

Self-reported measures may be subject to over- or under-reporting.

Limitations

The study population was less ethnically diverse than the general Canadian population, and some data were self-reported, which may introduce bias.

Participant Demographics

Patients included were those with type 2 diabetes and hypertension, primarily English-speaking, and able to provide consent.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI = 1.25-2.41

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-12-86

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