Blood pressure control among diabetes patients within a managed care setting.
Blood pressure (BP) control is a key component of diabetes management. BP control in patients with diabetes was assessed across 4 Colorado health plans. BP was obtained through retrospective chart reviews, and BP control was defined as <130/80 mm Hg. The study included 1,445 diabetic patients in 2004 and 1,423 diabetic patients in 2005. BP control did not improve significantly from 2004 to 2005; in 2004, 33.1% had controlled BP, compared with 35.2% in 2005. Women were more likely to have controlled BP than men, and younger patients were more likely to have controlled BP than older patients. Two of the 4 plans showed significant improvement in BP control, whereas the proportion of patients with BP controlled declined in 2 health plans. More aggressive disease management and pharmacologic treatment of blood pressure is needed to improve the cardiovascular health of patients with diabetes.
Colorado Business Group on Health (CBGH), Denver, Colorado, USA.
Donna
D
Marshall
Feride
F
Frech-Tamas
Jenifer
J
Wogen
Joseph J
JJ
Doyle
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D008875:Middle Aged; D011787:Quality of Health Care / Q000458:organization & administration*; D012189:Retrospective Studies; D012737:Sex Factors
D000959:Antihypertensive Agents; D006442:Glycated Hemoglobin; D008055:Lipids