title: [Aterial hypertension and cardiovascular risk factors associated with diabetes. Report of the PHARE survey in general practice].
abstract: OBJECTIVE
  To evaluate the characteristics of diabetic hypertensive patients (Pts), in term of associated cardiovascular risk factors and blood pressure control in a representative population issued from a survey "PHARE" conducted in general practice in France in 1999.
  
  
  METHODS
  PHARE survey was conducted in a sample of 225 GPs representative of the French medical population included in a gallup poll. GPs had to include all patients > 18 years old over a period of one week. Pts were considered as hypertensives (HP) if the mean of two recorded BP measurements was = 140/90 mmHg and/or < 140/90 mmHg if they were under antihypertensive treatment. Patients were considered as diabetics if they were previously known and/or if they received a medication for diabetes. Hypertensives were considered as controlled if their BP levels were overall < 140/90 mmHg or at the recommended threshold < 130/85 mmHg under treatment.
  
  
  RESULTS
  877 diabetic Pts (7%) among 12.342 Pts and 5.190 HP were included in the study. When compared to normotensives, diabetic HP had more frequently associated risk factors with hypertension and diabetes: overweight 71% vs 45%, dyslipidemia 61% vs 34%, sendentarily 73% vs 63%, tobacco consumption 27% vs 20%. The BP control at 140/90 mmHg threshold among treated diabetic HP was 21%, and only 8% at 130/85 mmHg. Regarding WHO classification, 79% of these diabetics had a high or very high cardiovascular risk. The were no difference in antihypertensive drugs used in HP diabetics and non diabetics and 50% of them received ACEI.
  
  
  CONCLUSIONS
  8 from 10 diabetics taken in charge in general practice are hypertensives and 8 from 10 have a very high cardiovascular risk due to a poor BP control and associated cardiovascular risk factors.
authors.affiliation: Service de médecine interne et HTA, CHU Purpan, Toulouse.
authors.forename: B
authors.initials: B
authors.lastname: Chamontin
authors.forename: T
authors.initials: T
authors.lastname: Lang
authors.forename: B
authors.initials: B
authors.lastname: Vaisse
authors.forename: R
authors.initials: R
authors.lastname: Nicodeme
authors.forename: M P
authors.initials: MP
authors.lastname: Antoine
authors.forename: M L
authors.initials: ML
authors.lastname: Lazorthes
authors.forename: H
authors.initials: H
authors.lastname: Gallois
authors.forename: L
authors.initials: L
authors.lastname: Poggi
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000209:etiology*; D048909:Diabetes Complications; D015444:Exercise; D005194:Family Practice; D005260:Female; D005602:France; D006306:Health Surveys; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications; D006973:Hypertension / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects