The Current Status of Blood Glucose Level in Patients with Hypertension Complicated with Diabetes Mellitus
American Journal of Health Research
Volume 6, Issue 6, November 2018, Pages: 126-129
Received: Oct. 3, 2018;
Accepted: Nov. 20, 2018;
Published: Dec. 21, 2018
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Yu Jian, Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Chen Jiali, Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Zeng Liuping, Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Huang Xianzhen, Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Li Wenying, Department of Cardiology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Zhou Peiru, Department of Medical Examination Center, The First Affiliated Hospital of Jinan University, Guangzhou, China
Background: Hypertension, characterized by elevated systemic arterial blood pressure, can cause various complications. Type 2 diabetes mellitus (hereinafter referred to as diabetes) is the most common complication in patients with hypertension, and hypertension complicated with diabetes can increase the risk of cardiovascular disease. It is pointed out that the prevalence of hypertension complicated with diabetes in China is 24.3%~ 38.4%. Objective: To analyze the blood glucose level and its related influencing factors in patients with hypertension complicated with diabetes mellitus. Methods: A retrospective survey using self-designed questionnaires was carried out in patients diagnosed with hypertension plus diabetes mellitus hospitalized in the Department of Cardiology of a Grade III Level A hospital in Guangzhou from October 2015 to March 2016. The binary Logistic regression was used to analyze the influencing factors for blood glucose level. Results: A total of 437 patients with hypertension plus diabetes mellitus were included in the study. The standard-reaching rate of blood glucose was 24.3% which was of significant difference between different diabetic durations (P=0.007). The binary Logistic regression analysis showed that the duration of diabetes (OR: 1.094; 95% CI: 1.036, 1.155) was the independent risk factor for the standard-reaching rate of blood glucose. Conclusions: The standard-reaching rate of blood glucose in patients with hypertension complicated with diabetes mellitus was relatively low and the duration of diabetes was an important risk factor for standard-reaching rate of blood glucose.
The Current Status of Blood Glucose Level in Patients with Hypertension Complicated with Diabetes Mellitus, American Journal of Health Research.
Vol. 6, No. 6,
2018, pp. 126-129.
Liu, X., Zhang, Y., Mao, D., Lu, J., Chen, J., & Yang, L., et al. (2017). [serum vitamin d levels of chinese rural women of childbearing age in 2010-2012]. Journal of Hygiene Research. Liu J, Zhao D, Liu J, et al. Prevalence of diabetes mellitus in outpatients with essential hypertension in China: a cross-sectional study [J]. BMJ Open, 2013, 3 (11): e3798.
Sun, J., Dong, Y., Lei, W. U., Cardiology, D. O., Hospital, L., & Hospital, K. L. G. (2014). Incidence and influencing factors of hypertension subtypes and in diabetes patients. Chinese Journal of Diabetes, 22 (7), 610-614.
Daly, B., Toulis, K. A., Thomas, N., Gokhale, K., Martin, J., & Webber, J., et al. (2018). Increased risk of ischemic heart disease, hypertension, and type 2 diabetes in women with previous gestational diabetes mellitus, a target group in general practice for preventive interventions: a population-based cohort study. Plos Medicine, 15 (1), e1002488.
Zhang, G., Chen, H., Chen, W., & Zhang, M. (2017). Prevalence and risk factors for diabetic retinopathy in china: a multi-hospital-based cross-sectional study. British Journal of Ophthalmology, 101 (12), 1591-1595.
Cui, J., Ren, J. P., Chen, D. N., Xin, Z., Yuan, M. X., & Xu, J., et al. (2017). Prevalence and associated factors of diabetic retinopathy in beijing, china: a cross-sectional study. Bmj Open, 7 (8), e015473.
Chan, J. C., Zhang, Y., & Ning, G. (2014). Diabetes in china: a societal solution for a personal challenge. Lancet Diabetes Endocrinol, 2 (12), 969-979.
Gee, M. E., Janssen, I., Pickett, W., Mcalister, F. A., Bancej, C. M., & Joffres, M., et al. (2012). Prevalence, awareness, treatment, and control of hypertension among canadian adults with diabetes, 2007 to 2009. Canadian Journal of Cardiology, 28 (3), 367-374.
Zheng, L., Li, J., Sun, Z., Zhang, X., Hu, D., & Sun, Y. (2015). Relationship of blood pressure with mortality and cardiovascular events among hypertensive patients aged ≥60 years in rural areas of china: a strobe-compliant study. Medicine, 94 (39), e1551.
Beulens, J. W. J., Patel, A., Vingerling, J. R., Cruickshank, J. K., Hughes, A. D., & Stanton, A., et al. (2009). Effects of blood pressure lowering and intensive glucose control on the incidence and progression of retinopathy in patients with type 2 diabetes mellitus: a randomised controlled trial. Diabetologia, 52 (10), 2027.
Omboni, S., & Ferrari, R. (2015). The role of telemedicine in hypertension management: focus on blood pressure telemonitoring. Current Hypertension Reports, 17 (4), 1-13.
ACCORD Study Group; Cushman WC; Evans GW; Byington RP; Goff DC Jr; Grimm RH Jr; Cutler JA; Simons-Morton DG; Basile JN; Corson MA; Probstfield JL; Katz L; Peterson KA; Friedewald WT; Buse JB; Bigger JT; Gerstein HC; Ismail-Beigi F. (2010). Effects of intensive blood-pressure control in type 2 diabetes mellitus. N Engl J Med, 362 (17), 1575-1585.
Brunström, M., Eliasson, M., Nilsson, P. M., & Carlberg, B. (2016). Blood pressure treatment levels and choice of antihypertensive agent in people with diabetes mellitus: an overview of systematic reviews. Journal of Hypertension, 35 (3), 453.
O’Connor, P. J., Narayan, K. M. V., Anderson, R., Feeney, P., Fine, L., & Ali, M. K., et al. (2012). Effect of intensive versus standard blood pressure control on depression and health-related quality of life in type 2 diabetes: the accord trial. Diabetes Care, 35 (7), 1479-81.