Proportion Of Blood Pressure Control, Predictors Of Blood Pressure Control, And Associated Microvascular Effects Among Patients With Diabetes Mellitus Type 2 Attending Dodoma Regional Referra

ABSTRACT

Background: Diabetes and hypertension are among the most common diseases in

developed countries, and the frequency of both diseases tends to rise with age.

According to JNC 8 criteria, the target Blood pressure control among diabetes

patients is below 140/90 mmHg.

Methods: A hospital based cross-sectional study was carried out of 498 type 2

diabetic hypertensive patients who were attending hypertensive diabetic type 2

patients clinic at DRRH. The structured questionnaire was used to gather information

on social demographic variables, Anthropometric measurements were measured and

bp was measured, retinopathy and proteinuria screening as well as symptoms for

neuropathy were performed.

Results: The proportion of patients whose blood pressure was controlled with goal

range is 30.9%; the predictor of good blood pressure control were: Residing in urban

areas (OR= 5.85, 95% CI 3.88-6.98) and being unemployed (OR=2.01, 95% CI

1.27-3.64). The predictor of neuropathy was smoking (OR= 15.572, 95% CI 1.573-

154.191). The predictors of nephropathy were; Alcohol use (OR=2.294, 95% CI;

1.413-3.726) and the short period since being diagnosed with type 2 diabetes (OR=

3.66; 95% CI; .417-8.399). The predictor of retinopathy were; Low education (OR=

5.687, 95% CI 1.708-18.929) and cigarette smoking both current and past smokers

(OR =5.062, 95% CI; 2.498-10.258 and OR 2.419, 95% CI; 1.379-4.244)

respectively.

Conclusion: The proportion of blood pressure control is very low, good predictors of

blood pressure control are the area of residence and occupational status. This study

has shown that there were some populations who had a higher risk of poor blood

pressure control and micro vascular complications.

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