Abougalambou Salwa Selim Ibrahim, Abougalambou Ayman S
Discipline of Clinical Pharmacy, Qassim University, Pharmacy College, Qassim, Saudi Arabia.
Diabetes Metab Syndr. 2013 Apr-Jun;7(2):83-6. doi: 10.1016/j.dsx.2013.02.019. Epub 2013 Apr 15.
Hypertension is extremely common disease found in patients with diabetes mellitus. Eighty to 90% of patients with type 2 diabetes mellitus will develop hypertension, and about 20% of hypertensive patients develop diabetes. The aim of this study was designed to assess the prevalence of hypertension and factors affecting the control of hypertension among type 2 diabetic patients.
A total of 1077 type 2 diabetes mellitus patients were included in this study who attended at diabetes clinic of Universiti Sains Malaysia (USM) teaching hospital in Kelantan. All these patients were prospectively followed from January to December 2008. Logistic regression analysis was used to assess the independent effect of variables on hypertension.
The prevalence of hypertension (BP>130/80 or on medication for high blood pressure) was 92.7%. A total 471 (47.2%) patients had achieved blood pressure targets ≤ 130/80 mmHg. The logistic regression indicated that hypertension was positively associated with age (P=0.040), BMI (P=0.027), HbA1c (P=0.046), and level of education (P=0.039).
Hypertension is a common co-morbidity among diabetic patients. Hypertension was not controlled to the recommended levels of blood pressure in about one-half (52.8%) of diabetes patients. Age, BMI, HbA1c and level of education are factors affecting on hypertension.
高血压是糖尿病患者中极为常见的疾病。80%至90%的2型糖尿病患者会患上高血压，约20%的高血压患者会患上糖尿病。本研究旨在评估2型糖尿病患者中高血压的患病率以及影响高血压控制的因素。
本研究纳入了1077名在马来西亚理科大学（USM）吉兰丹教学医院糖尿病门诊就诊的2型糖尿病患者。所有这些患者在2008年1月至12月期间接受前瞻性随访。采用逻辑回归分析评估变量对高血压的独立影响。
高血压（血压>130/80或正在服用抗高血压药物）的患病率为92.7%。共有471名（47.2%）患者实现了血压目标≤130/80 mmHg。逻辑回归表明，高血压与年龄（P=0.040）、体重指数（P=0.027）、糖化血红蛋白（P=0.046）和教育程度（P=0.039）呈正相关。
高血压是糖尿病患者中常见的合并症。约一半（52.8%）的糖尿病患者血压未控制在推荐水平。年龄、体重指数、糖化血红蛋白和教育程度是影响高血压的因素。
