Affiliations: Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, S.A.S. Nagar, Punjab, India | Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Note: [] Address for correspondence: Dr. Pramil Tiwari, Associate Professor and In-charge, Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Sector 67, S.A.S. Nagar, Punjab, 160062 India. Tel.: +91 0172 2214682 87, Extn. 2135; Fax: +91 172 2214692; E-mail: [email protected].
Abstract: Objective: To determine the blood pressure goal attainment and pattern of antihypertensive therapy in type 2 diabetic hypertensive patients. Design and setting: An observational study done in a tertiary care hospital in Northern India. Subjects and methods: Diabetic hypertensive patients visiting the endocrinology outpatient department were enrolled in the study. Information was gathered on the patient's demographic and clinical data. Blood pressure values less than 130/80 mmHg were considered to be controlled. Results: Of the 320 patients studied, only 11.2% had their blood pressure controlled, as per JNC 7 guidelines. A majority (60%) of the patients were treated with multidrug regimen. Angiotensin converting enzyme inhibitor and angiotensin receptor blockers were prescribed to 93.8% of the patients. Conclusion: Despite a good use of antihypertensive agents, 88.8% of the patients had uncontrolled blood pressure, and hence microvascular and macrovascular complications were more prevalent among this population.
