Inpharma 1478 - 12 Mar 2005

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BP control in type 1 DM suboptimal despite guidelines Hypertension is underdiagnosed among patients with type 1 diabetes mellitus (DM) as well as among patients without diabetes, and BP control among those diagnosed could be improved, report US-based researchers. They used baseline data for 1416 participants of the CACTI* study to assess the prevalence, treatment, control and awareness of hypertension among patients (aged 19–56 years) with type 1 DM versus 764 control subjects without the disease. Hypertension was significantly more prevalent among patients with type 1 DM than among individuals without type 1 DM (43% vs 15%); awareness of hypertension was also greater among those with type 1 DM (53% vs 45%). In addition, a significantly greater proportion of patients with type 1 DM received treatment for hypertension (87% vs 47%). According to the ADA and JNC 6 guidelines,** 55% of patients with type 1 DM were in control of their hypertension compared with 32% of nondiabetic patients (BP goal of < 130/85mm Hg; p < 0.0001). Notably, the proportion of patients with type 1 DM who were in control dropped from 55% to 42% when the newer JNC 7 guidelines were applied (< 130/80mm Hg). * Coronary Artery Calcification in Type 1 Diabetes ** the American Diabetes Association (ADA) and the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 6) MAAHS DM, et al. Hypertension prevalence, awareness, treatment, and control in an adult type 1 diabetes population and a comparable general population. Diabetes 801003187 Care 28: 301-306, No. 2, Feb 2005

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Inpharma 12 Mar 2005 No. 1478