Hypertension among 1000 patients with type 2 diabetes attending a national diabetes center in Jordan

Abstract

Background and Objectives: In Jordan, there is a paucity of research on hypertension and its risk factors among patients with type 2 diabetes mellitus. This study was designed to assess the prevalence of hypertension, risk factors, and the level of awareness and control of hypertension among outpatients with type 2 diabetes. Subjects and Methods: A cross-sectional study was carried out on a sample of 1000 patients with type 2 diabetes who were attending the National Center for Diabetes, Endocrine and Genetic Diseases for follow-up during the period of June to December 2006. Data were collected from medical records and through a struc--tured interview questionnaire. Logistic regression analysis was used to assess the independent effect of variables on hypertension. Results: The prevalence of hypertension (BP> 130/80 or on medication for high blood pressure) was 72.4% (70.9% of males and 73.9% of females). The logistic regression indicated that hypertension was positively associated with age (P=.001), body mass index (P=.001), and duration of diabetes (P=.001). About one-half of patients who were aware of having hypertension failed to keep their blood pressure under control. Conclusion: Hypertension is a common co-morbidity among diabetic patients. Despite a high rate of aware--ness of hypertension among study subjects (93%), hypertension was not controlled to the recommended levels of blood pressure in about one-half (50.4%) of patients.