Endocrine Abstracts

Objectives: To evaluate the prevalence of hypertension in patients with type 2 diabetes mellitus (T2DM) and to analyze the clinical characteristics, the degree of achieved control and the associated antihypertensive treatment.

Methods: Cross-sectional study which included patients with T2DM followed in a primary care setting. Data about age, sex, associated antihypertensive treatment, systolic blood pressure (SBP) and diastolic blood pressure (DBP) was collected.

Results: From 79 patients included, 78.5% had hypertension. Mean age was 72.5 years (standard deviation [S.D.] 10.1 years) and 62.9% were men. Mean SBP was 126.5 mmHg (S.D. 13.7) and mean DBP 72.9 mmHg (S.D. 8.6). 77.6% of patients achieved blood pressure levels <140/90 mmHg. All patients were on antihypertensive treatment: 35.5% with ACE inhibitors, 45.2% with ARBs, 61.3% with diuretics and 30.6% with calcium channel blockers. Average number of antihypertensives was 2.15 (29% monotherapy, dual therapy 30.6%, triple therapy 32.3%, four or more antihypertensives 8.1%).

Conclusions: The vast majority of patients with T2DM have high blood pressure, but it is usually well-controlled. At least two antihypertensive drugs were used is most patients to control blood pressure, being the most used drug class ARBs.