Trends in blood pressure control and treatment among type 2 diabetes with comorbid hypertension in the United States: 1988-2004.

  • Suh D
  • Kim C
  • Choi I
 et al. 
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OBJECTIVES: The objectives of this study were to examine the trends in the
prevalence of type 2 diabetic patients with comorbid hypertension and blood
pressure (BP) control rates in the United States and determine factors associated
with these outcomes. METHODS: We used data from National Health and Nutrition
Examination Surveys (NHANES) III (1988-1994) and NHANES 1999-2004, a
cross-sectional sample of the noninstitutionalized US populations. Type 2
diabetic patients were identified as patients at least 30 years of age with
physician-diagnosed diabetes who were taking insulin or oral antidiabetic drugs
to manage the condition. A diagnosis of hypertension was based on physician
diagnosis, treatment with antihypertensive medications, or BP at least 140/90
mmHg. BP control was defined as diabetic patients who maintained BP Logistic regression was used to estimate risks of high BP, and odds of high BP
treatment and control rates, after adjusting for demographic and clinical risk
factors. RESULTS: The age-adjusted prevalence of diabetic patients and those with
hypertension increased significantly from 5.8 to 7.1% and 3.9 to 4.7%,
respectively, from NHANES III to NHANES 1999-2004. Among diabetic patients with
hypertension, patients who were treated with medication or lifestyle or
behavioral modification therapy have increased significantly from 76.5 to 87.8%
during the observation period. The proportion of patients who controlled BP
increased from 15.9 to 29.6%, but 70% of patients still did not meet the target
BP goal. CONCLUSION: Aggressive public health efforts are needed to improve BP
control in type 2 diabetic patients with hypertension.

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  • D C Suh

  • C M Kim

  • I S Choi

  • C A Plauschinat

  • J A Barone

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