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Trends in blood pressure control in patients with type 2 diabetes - Data from the Swedish National Diabetes Register (NDR).

Nilsson, Peter LU ; Cederholm, Jan; Zethelius, Björn; Eliasson, Björn; Berg, Katarina LU and Gudbjörnsdottir, Soffia (2011) In Blood Pressure 20. p.348-354
Abstract
We assessed blood pressure (BP) trends in patients with type 2 diabetes from a national diabetes register using three cross-sectional samples (aged 30-85 years) in 2005, 2007 and 2009, and in patients from 2005 followed individually until 2009. The prevalence of hypertension was 87% among all 180 369 patients in 2009, although lower in subgroups with ages 30-39, 40-49 and 50-59 years: 40%, 60% and 77%. In the three cross-sectional surveys, mean BP decreased (141/77-136/76 mmHg), uncontrolled BP≥ 140/90 mmHg decreased (58-46%), and antihypertensive drug treatment (AHT) increased (73-81%). Comparatively in 79 185 patients followed individually for 5 years, mean BP decreased (141/77-137/75 mmHg), uncontrolled BP ≥140/90 mmHg decreased... (More)
We assessed blood pressure (BP) trends in patients with type 2 diabetes from a national diabetes register using three cross-sectional samples (aged 30-85 years) in 2005, 2007 and 2009, and in patients from 2005 followed individually until 2009. The prevalence of hypertension was 87% among all 180 369 patients in 2009, although lower in subgroups with ages 30-39, 40-49 and 50-59 years: 40%, 60% and 77%. In the three cross-sectional surveys, mean BP decreased (141/77-136/76 mmHg), uncontrolled BP≥ 140/90 mmHg decreased (58-46%), and antihypertensive drug treatment (AHT) increased (73-81%). Comparatively in 79 185 patients followed individually for 5 years, mean BP decreased (141/77-137/75 mmHg), uncontrolled BP ≥140/90 mmHg decreased (58-47%) and AHT increased (73-82%). Independent predictors of BP decrease were BMI decrease (stronger) and increase in AHT. AHT occurred among 81% of all patients in 2009. In 57 645 patients on AHT followed individually, mean BP decreased (143/77-138/75 mmHg) and uncontrolled BP ≥140/90 mmHg decreased (63-50%). Among 5164 patients with nephropathy on AHT followed individually, BP <130/80 mmHg increased (12-21%). In conclusion, BP control improved from 2005 to 2009, relative to BMI decrease and AHT increase, although still about half had BP ≥140/90 mmHg. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Blood Pressure
volume
20
pages
348 - 354
publisher
Taylor & Francis
external identifiers
  • wos:000296977300005
  • pmid:21675827
  • scopus:80053181222
ISSN
0803-7051
DOI
10.3109/08037051.2011.587288
language
English
LU publication?
yes
id
3191b0d3-4b73-4005-9286-13079d8933fc (old id 2008040)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21675827?dopt=Abstract
date added to LUP
2011-07-05 12:01:58
date last changed
2017-10-29 04:27:46
@article{3191b0d3-4b73-4005-9286-13079d8933fc,
  abstract     = {We assessed blood pressure (BP) trends in patients with type 2 diabetes from a national diabetes register using three cross-sectional samples (aged 30-85 years) in 2005, 2007 and 2009, and in patients from 2005 followed individually until 2009. The prevalence of hypertension was 87% among all 180 369 patients in 2009, although lower in subgroups with ages 30-39, 40-49 and 50-59 years: 40%, 60% and 77%. In the three cross-sectional surveys, mean BP decreased (141/77-136/76 mmHg), uncontrolled BP≥ 140/90 mmHg decreased (58-46%), and antihypertensive drug treatment (AHT) increased (73-81%). Comparatively in 79 185 patients followed individually for 5 years, mean BP decreased (141/77-137/75 mmHg), uncontrolled BP ≥140/90 mmHg decreased (58-47%) and AHT increased (73-82%). Independent predictors of BP decrease were BMI decrease (stronger) and increase in AHT. AHT occurred among 81% of all patients in 2009. In 57 645 patients on AHT followed individually, mean BP decreased (143/77-138/75 mmHg) and uncontrolled BP ≥140/90 mmHg decreased (63-50%). Among 5164 patients with nephropathy on AHT followed individually, BP &lt;130/80 mmHg increased (12-21%). In conclusion, BP control improved from 2005 to 2009, relative to BMI decrease and AHT increase, although still about half had BP ≥140/90 mmHg.},
  author       = {Nilsson, Peter and Cederholm, Jan and Zethelius, Björn and Eliasson, Björn and Berg, Katarina and Gudbjörnsdottir, Soffia},
  issn         = {0803-7051},
  language     = {eng},
  pages        = {348--354},
  publisher    = {Taylor & Francis},
  series       = {Blood Pressure},
  title        = {Trends in blood pressure control in patients with type 2 diabetes - Data from the Swedish National Diabetes Register (NDR).},
  url          = {http://dx.doi.org/10.3109/08037051.2011.587288},
  volume       = {20},
  year         = {2011},
}