title: Blood pressure control among diabetic hypertensives under cardiology follow-up at a regional hospital in rural Malaysia.
abstract: Three hundred thirty-one consecutive patients presenting with hypertension to the outpatient medical clinic of Tengku Ampuan Afzan Hospital, Kuantan, Malaysia were screened and 150 patients with concurrent diabetes were enrolled into a cross-sectional study. The majority of patients were male (60.6%) with a mean age of 60.0 +/- 11.0 years. The mean systolic blood pressure (SBP) was 140.9 +/- 20.1 mmHg and the mean diastolic blood pressure (DBP) was 81.7 +/- 9.8 mmHg. Only 38.0% (57/150) of patients had blood pressures within recommended guidelines (130/80 mmHg). The mean blood pressure in this group was 123.7 +/- 8.5/76.4 +/- 5.6 mmHg. The majority of patients were on either 2 (41.3%) or 3 (31.3%) anti-hypertensives. Females had a significantly higher SBP 145.4 +/- 22.7 vs. 138.0 +/- 17.8 mmHg in males (p = 0.026). The level of blood pressure control in diabetics was unsatisfactory, especially in females and the elderly. A reassessment of priorities in the management of patients with concurrent hypertension and diabetes is therefore, urgently needed.
authors.affiliation: International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Bandar Indera Mahkota, 25200 Kuantan, Pahang, Malaysia. risman1973@hotmail.com
authors.forename: S M S
authors.initials: SM
authors.lastname: Azarisman
authors.forename: A
authors.initials: A
authors.lastname: Aszrin
authors.forename: A O
authors.initials: AO
authors.lastname: Marzuki
authors.forename: N N A
authors.initials: NN
authors.lastname: Fatnoon
authors.forename: A
authors.initials: A
authors.lastname: Hilmi
authors.forename: M H
authors.initials: MH
authors.lastname: Hadzri
authors.forename: P H
authors.initials: PH
authors.lastname: Ngow
authors.forename: A
authors.initials: A
authors.lastname: Shah
authors.forename: M Y
authors.initials: MY
authors.lastname: Rathor
authors.forename: A R
authors.initials: AR
authors.lastname: Jamalludin
mesh_terms: D017677:Age Distribution; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D016507:Cardiology Service, Hospital; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy* / Q000453:epidemiology; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D015995:Prevalence; D017678:Sex Distribution
chemical_list: D000959:Antihypertensive Agents