title: Blood pressure control among hypertensive patients with and without diabetes mellitus in six public primary care clinics in Malaysia.
abstract: Hypertension is a common comorbidity among diabetic patients. This study aimed to determine blood pressure (BP) control among hypertensive patients with and without diabetes. This was a cross-sectional study in 6 public primary care clinics in Wilayah Persekutuan, Malaysia. Hypertensive patients aged ≥18 years and attending the clinics were selected via systematic random sampling. The BP control target was defined as <130/80 mm Hg for diabetic patients and <140/90 mm Hg for nondiabetic patients. A total of 1107 hypertensive patients participated in this study and 540 (48.7%) had diabetes. About one fourth (24.3%) of the hypertensive patients with diabetes achieved BP control target, compared with 60.1% patients without diabetes (P < .001). Being diabetic and on ≥2 antihypertensive treatments were associated with poor BP control. Attention needs to be given to these groups of patients when managing patients with hypertension.
authors.affiliation: Universiti Putra Malaysia, Serdang, Malaysia caitheng@gmail.com.
authors.forename: Ai Theng
authors.initials: AT
authors.lastname: Cheong
authors.affiliation: Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors.forename: Seng Fah
authors.initials: SF
authors.lastname: Tong
authors.affiliation: Universiti Putra Malaysia, Serdang, Malaysia.
authors.forename: Sharrif G
authors.initials: SG
authors.lastname: Sazlina
authors.affiliation: Klinik Kesihatan Pantai, Wilayah Persekutuan, Kuala Lumpur, Malaysia.
authors.forename: Abdul Samad
authors.initials: AS
authors.lastname: Azah
authors.affiliation: Klinik Kesihatan Batu 9, Selangor, Malaysia.
authors.forename: Md Sharif
authors.initials: MS
authors.lastname: Salmiah
mesh_terms: D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure; D001795:Blood Pressure Determination; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology*; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*
chemical_list: D000959:Antihypertensive Agents
keywords: antihypertensive treatment; blood pressure control; diabetes; hypertension; primary care