Analysis of treatment status of patients with type 2 diabetes complicated with hypertension in Jiading District,Shanghai

AIM: To investigate the treatment status of patients with type 2 diabetes complicated with hypertension in Jiading District,Shanghai. METHODS: A questionnaire and physical and laboratory examinations were conducted in 423 patients with type 2 diabetes complicated with hypertension. Patients were selected using multistage stratified random sampling method in four communities. RESULTS: In the 413 patients with complete data,90. 8% patients were undergoing treatment with antihypertensive drugs and the control rate of blood pressure was 26. 9%. Two hundred and seventy-eight patients( 71. 4%) took only one type of antihypertensive drug; 86. 9% patients had regular hypoglycemic drugs and blood glucose control rate was 69. 4%. Hypercholesterolemia,left ventricular hypertrophy and peripheral arterial disease were risk factors for poor control of blood pressure,and long years of diabetes,irregular use of anti-diabetic drugs,hypertriglyceridemia and high low-density lipoprotein were risk factors for poor control of blood glucose. CONCLUSION: Standardized drug-taking rate in patients with type 2diabetes complicated with hypertension in Jiading District is 86. 9%. Blood glucose control rate is 69. 4%but blood pressure control rate is only 26. 9%. Hyperlipidemia and irregular drug taking are the independent controllable factors for blood pressure control and blood glucose control.