ArticleCanadian family physician Medecin de famille canadien2009
Drug management for hypertension in type 2 diabetes in family practice.
Article in Canadian family physician Medecin de famille canadien, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 15 citations in OpenAlex.
- Blood Pressure Control and Associated Factors among Hypertension Comorbid Type 2 Diabetic Patients in Southeast Ethiopia.International journal of hypertension · 2024Article
- The Healthy Hearts and Kidneys (HHK) study: Design of a 2×2 RCT of technology-supported self-monitoring and social cognitive theory-based counseling to engage overweight people with diabetes and chronic kidney disease in multiple lifestyle changes.Contemporary clinical trials · 2018Article
- Adherence to antihypertensive medications among family practice patients with diabetes mellitus and hypertension.Canadian family physician Medecin de famille canadien · 2013Article
- Hypertension and type 2 diabetes: what family physicians can do to improve control of blood pressure--an observational study.BMC family practice · 2011Article
- Hypertension and the family physician.Canadian family physician Medecin de famille canadien · 2009Article
- Hypertension management by family physicians: is it time to pat ourselves on the back?Canadian family physician Medecin de famille canadien · 2009Article
Corrections and comments
- Erratum issued
Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the number and classes of antihypertensive medications prescribed to patients with type 2 diabetes in community family practices, and to estimate the aggressiveness or "dosage intensity" of prescribing for hypertension in these situations.
designPractice-based, cross-sectional observational study.
settingSeventeen rural and urban family practices in the Maritime Family Practice Research Network in Nova Scotia, New Brunswick, and Prince Edward Island.
participantsA total of 670 patients with type 2 diabetes, ranging from 25 to 92 years of age.
main outcome measuresNumber, classes, and combinations of classes of antihypertensive medications prescribed, as well as an index of each medication's dosage intensity.
resultsAlmost 80% of patients studied had hypertension. Participants with hypertension were taking an average of 2.5 medications, and 47.6% were taking 3 or more antihypertensive medications, but only 27.1% reached target blood pressure values of less than 130/80 mm Hg. Older patients took more antihypertensive medications, but there were no differences by sex. More than 90% were taking angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, 66% were taking diuretics, 41% were taking beta-blockers, and 38% were taking calcium channel blockers. We cannot describe the sequence in which antihypertensive medication classes were added, but analysis of patients taking multiple drug classes suggests that most patients were started on angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, followed by diuretics, beta-blockers, or calcium channel blockers. The most commonly used medications were prescribed at higher than two-thirds the maximum dose effective for hypertension.
conclusionHypertension is very common among family practice patients with type 2 diabetes; of those patients, few reach target blood pressures. Practice-based strategies to increase dosing and number of medications prescribed might be required.
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Identifiers
19602663PMC2718608W2123894847What OpenQuestion holds
Registered trials
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