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- W1968667788 abstract "Recommendations from the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) and American Diabetes Association suggest that diabetics should have a goal blood pressure (BP) of <130/80 mmHg. The objective of this analysis was to determine how effective a specialty hypertension clinic was in achieving this new, lower goal BP in its subpopulation of diabetic patients. In a review of 505 randomly selected charts, 59 diabetic patients were identified (60.9±12.4 years, 55.9% male, 48.2% whites). The initial BP at presentation was 159±26/84±13 mmHg. At the last follow-up visit (average 1.05±1.79 years), only 14% were at or below both systolic and diastolic BP goal of <130 and <80 mmHg (32.2% and 66.1%, respectively). There was no significant correlation between achieving goal BP and initial SBP or DBP, age, race, gender, baseline insulin use, retinopathy, renal insufficiency, left ventricular hypertrophy, history of tobacco use, prior coronary artery disease, or prior stroke at presentation. There was a greater use of combination drugs in whites (17 whites vs. 9 non-whites, P=0.027) in contrast to the utilization of vasodilators in non-whites (1 vs. 6, respectively, P <0.001) while the total ACE-inhibitor/ARB use was similar in both groups (35 vs. 32). The average number of drugs used was 4.24 for whites and 4.03 for non-whites. In summary, more aggressive goal-oriented management of hypertension in diabetic patients is necessary and is likely to require more than 4 different and complementary-acting antihypertensive medications, even in specialist clinics. Am J Hypertens (2004) 17, 195A–195A; doi: 10.1016/j.amjhyper.2004.03.515" @default.
- W1968667788 created "2016-06-24" @default.
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- W1968667788 date "2004-05-01" @default.
- W1968667788 modified "2023-10-17" @default.
- W1968667788 title "Achievement of blood pressure goals for diabetic subpopulation in a hypertension clinic" @default.
- W1968667788 doi "https://doi.org/10.1016/j.amjhyper.2004.03.515" @default.
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