Blood pressure control in type II diabetics with diabetic retinopathy

Eye (Lond). 2007 Jun;21(6):708-11. doi: 10.1038/sj.eye.6702307. Epub 2006 Feb 24.

Abstract

Background: Large clinical trials have emphasized that blood pressure control provides a major clinical benefit in reducing the risk of blindness in patients with diabetic retinopathy.

Methods: This audit was carried out to assess the quality of care for hypertension in 100 consecutive type II diabetics with diabetic retinopathy.

Results: The target blood pressure of 140/80 mmHg was achieved only in 38% of the patients. We also observed that 65% of the patients requiring diabetic macular laser treatment in this cohort had suboptimal control. The factors associated with suboptimal blood pressure control are identified and discussed.

Conclusion: Despite the unequivocal fact that lowering BP significantly reduces morbidity and mortality in diabetics, the majority of patients are not treated to a goal BP.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antihypertensive Agents / administration & dosage
  • Blindness / etiology
  • Blindness / prevention & control
  • Blood Pressure
  • Blood Pressure Determination / statistics & numerical data
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetic Retinopathy / complications*
  • Diabetic Retinopathy / physiopathology
  • Drug Utilization
  • Female
  • Humans
  • Hypertension / complications
  • Hypertension / diagnosis
  • Hypertension / drug therapy*
  • Male
  • Medical Audit
  • Middle Aged
  • Monitoring, Physiologic / statistics & numerical data
  • Quality of Health Care

Substances

  • Antihypertensive Agents