TITLE:
Blood Pressure Profile and Glycemic Control of Type 2 Diabetics and Hypertensives at the Yalgado Ouedraogo University Hospital: A Review of 116 Cases
AUTHORS:
G. R. C. Millogo, A. Thiam, Y. Kambiré, E. Nongkouni, S. E. Dabiré, L. J. Kagambéga, J. K. Kologo, V. N. Yaméogo, P. Zabsonré
KEYWORDS:
Blood Pressure Control, Glycemic Control, Hypertensive and Diabetic Patients
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.14 No.1,
January
31,
2024
ABSTRACT: Objective: The association hypertension and diabetes is important. The two
pathologies may influence each other. The aim was to study the correlation
between glycemic control and blood pressure control and to determine the
factors associated with blood pressure control. Methodology: This was a
descriptive cross-sectional study with an analytical focus over 7 months. Patients
were recruited as outpatients and all underwent ambulatory blood pressure
measure, glycated hemoglobin and creatinine measurements, and assessment of
compliance with treatment. Results: During this period 116 patients were
collected. The predominance was female 69%. The mean age of the patients was 62
± 7 years with a peak between 60 and 70 years. The average age of hypertension
was 12 years and that of diabetes 6 1/2 years. The most frequently associated
cardiovascular risk factor was a sedentary lifestyle (71.5%) after age. 57.8%
of patients were not controlled at the office, with a predominance of systolic
hypertension (58.2%). 61.6% of patients were controlled by ambulatory blood
pressure measure, a rate of 47.8% of white coat hypertension. Glycemic control
was observed in 42.2% of cases and 87% of patients had good renal function
(glomerular filter rate ≥ 60 ml/mn). Therapeutic compliance was good in 53.4%
of cases and dual therapy was the most used therapeutic modality 44.8% (52
patients) followed by triple therapy. The factors associated with poor blood
pressure control were glycemic imbalance, non-compliance and monotherapy. Dual
therapy had a protective effect. Conclusion: The association of
hypertension and type 2 diabetes is frequent. The risk of occurrence increases
with age. Ambulatory blood pressure measure is the best method to assess blood
pressure control. Optimization of blood pressure control should also include
optimization of glycemic control.