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- Title
Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil.
- Authors
Gomes, Marilia B.; Monteiro Tannus, Lucianne Righeti; de Mattos Matheus, Alessandra Saldanha; Arnoldi Cobas, Roberta; Sousa Palma, Catia C.; Kano Silva, Aline Tiemi; Negrato, Carlos Antonio; Atala Dib, Sergio; Rodacki, Melanie; Soares Felício, João; Canani, Luis Henrique
- Abstract
Objective. This study evaluated the prevalence, awareness, and type of treatment for hypertension in Brazil in patients with type 1 diabetes (T1D). Methods. This was a cross-sectional, multicenter study that was conducted from December 2008 to December 2010 in 28 public clinics located in 20 Brazilian cities. Results. A total of 3,591 patients were studied, 56% female, average age 21.2 ± 11.7 years, with a median duration of diabetes 9.6 ± 8.1 years. Blood pressure levels were available for a total of 3,323 patients and 689 (19.2%) patients were hypertensive. Hypertensive patients were older, exhibited longer duration of diabetes, and had higher body mass index (BMI), total cholesterol, triglycerides, and LDL-C values (P < 0.001, for all comparisons), but only 370 (53.7%) received treatment. Patient awareness of hypertension was documented in 453 (65.5%) patients. However, only 76 (22.9%) of the treated patients attained the target systolic (sBP) and diastolic blood pressures (dBP). Conclusions. Our results demonstrate that a large number of T1D patients with hypertension do not receive appropriate treatment; few of the treated T1D patients achieved the target sBP and dBP values. Greater attention should be paid to blood pressure evaluation, hypertension diagnosis, and treatment of T1D patients in Brazil.
- Subjects
BRAZIL; HYPERTENSION epidemiology; BLOOD pressure; BLOOD sugar; CHOLESTEROL; CONFIDENCE intervals; STATISTICAL correlation; EPIDEMIOLOGY; GLYCOSYLATED hemoglobin; HIGH density lipoproteins; HYPERTENSION; TYPE 1 diabetes; INTERVIEWING; LOW density lipoproteins; MEDICAL cooperation; PROBABILITY theory; RESEARCH; SMOKING; STATISTICAL hypothesis testing; T-test (Statistics); TRIGLYCERIDES; COMORBIDITY; DATA analysis; MULTIPLE regression analysis; DISEASE prevalence; CROSS-sectional method; DATA analysis software; DESCRIPTIVE statistics
- Publication
International Journal of Hypertension, 2013, p1
- ISSN
2090-0384
- Publication type
Article
- DOI
10.1155/2013/565263