A Prospective Observational Study on Magnitude and Pattern of Hypertension among Type 2 Diabetics and Non Diabetics (Research Article)

Author(s): S. Areefulla Hussainy*, Efra Naaz, Shaima Shereen, Kashifa Fatima and Samreen Fatima

Abstract: Methodology: A Prospective observational study was carried out at Osmania General Hospital for a period of 6 months. All patients of either sex attending general medicine department with established hypertension with and without diabetes above 35 years of age were included. Patients below 18 years of age, Pregnant and lactating women and patients who refused to be a part of the study were excluded. Results: During the study period, a total of 150 Patients were enrolled. Out of which 65% were males and 35% were females and common age group was ≥60 years. Prevalence of macro vascular complications was found to be more in diabetic patients which is 62%. It was found that 63% have HTN for a duration of >2 years, 56% had no knowledge about their medications, 61% have treatment complexity and 96% have macro vascular complications. Diuretics were the most commonly prescribed class of drugs. It was reported that 55% were adherent to HTN medication, 34% were not following low salt diet, non-adherence to physical activity was 46%, adherence to non- smoking was 61% and 53% of the patients were not adhered to alcohol abstinence. Conclusion: Magnitude of HTN is high among old aged diabetic males with predicted high risk of macrovascular complications. The reasons for the uncontrolled BP were poor knowledge of hypertension, medications, alcohol abstinence, low salt diet, stress, physical activity and older age. Clinical pharmacist at an early stage can monitor the BP and diabetic related risk factors, thereby enhancing the quality life span of the patient and can help in reducing the burden of costly drugs.

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