title: Rate of blood pressure control and antihypertensive treatment approaches in diabetic patients with hypertension.
abstract: OBJECTIVE
  Hypertension is a common co-morbidity in patients with type 2 diabetes. Management of hypertension is of paramount importance in reducing macro- and microvascular complications of diabetes. The aim of this study is to determine the rate of blood pressure control (<140/85 mmHg) in diabetic patients with hypertension, and to evaluate the prescribing pattern of antihypertensive medications.
  
  
  METHODS
  This was a prospective, cross-sectional, observational study conducted in a tertiary centre in Turkey. Of 707 patients with diabetes, 500 hypertensive patients were evaluated to determine control of hypertension and treatment attitudes. Logistic regression analysis was used to evaluate the likelihood of prescription of each class of antihypertensive medications for the presence of macro- and microvascular complications.
  
  
  RESULTS
  Most of the patients (95%) were on antihypertensive therapy. Only 41% achieved target blood pressure values (<140/85 mmHg). Renin angiotensin system (RAS) blockers were the most frequently (82.4%) prescribed antihypertensive agents, and a combination of RAS blockers and diuretics were the most commonly preferred combination therapy. Most of the patients were on 1 antihypertensive drug or a combination of 2 drugs (39.5% and 44.7%, respectively). Patients with coronary artery disease were more likely to receive beta blockers (Odds ratio=3.6, 95% confidence interval=2.3-5.6; p<0.001).
  
  
  CONCLUSIONS
  Although most of the diabetic hypertensive patients were on hypertensive therapy, more than half had uncontrolled blood pressure.
authors.affiliation: Department of Cardiology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey. nkahya77@yahoo.com.
authors.forename: Nihan
authors.initials: N
authors.lastname: Kahya Eren
authors.affiliation: Department of Endocrinology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Ece
authors.initials: E
authors.lastname: Harman
authors.affiliation: Department of Endocrinology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Devrim
authors.initials: D
authors.lastname: Dolek
authors.affiliation: Department of Endocrinology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Aliye Pelin
authors.initials: AP
authors.lastname: Tütüncüoğlu
authors.affiliation: Department of Cardiology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Sadık Volkan
authors.initials: SV
authors.lastname: Emren
authors.affiliation: Department of Cardiology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Levent
authors.affiliation: Department of Internal Medicine, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Gülten
authors.initials: G
authors.lastname: Korkmaz
authors.affiliation: Department of Cardiology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Selcen
authors.initials: S
authors.lastname: Yakar Tülüce
authors.affiliation: Department of Cardiology, İzmir Katip Çelebi University Ataturk Training and Research Hospital, İzmir, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Nazlı
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000008:administration & dosage*; D001794:Blood Pressure; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012044:Regression Analysis; D014421:Turkey
chemical_list: D000959:Antihypertensive Agents