Relation between Glycemic Control among the Patients with Type 2 DM and Level of Blood Pressure

Authors

  • Md Al Amin Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Tahira Zannat Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Nazim Uddin Dhaka Medical College Hospital, Dhaka, Bangladesh
  • - Md Moniruzzaman Dhaka Medical College Hospital, Dhaka, Bangladesh
  • - Md Habibullah Dhaka Medical College Hospital, Dhaka, Bangladesh
  • AKM Humayon Kabir Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Md Enamul Karim Dhaka Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jom.v22i1.51385

Keywords:

Type 2 DM, Hypertension, HbA1c

Abstract

Introduction: Inadequate glycemic control among patients with type 2 diabetes constitutes a major public health problem and risk factor for the development of diabetes related complications. Hypertension is a common co-morbid condition of diabetes. Hypertension as a factor for poor glycemic control in diabetes patients has not been properly evaluated in Bangladesh. The aim of the study was to assess status of glycemic control among patients with Type 2 DM depending on the level of blood pressure in a tertiary care hospital.

Method: This cross sectional study was carried out among 200 adult patients of either gender with type 2 diabetes mellitus, in the Department of Medicine and endocrinology, Dhaka Medical College Hospital from January to June 2015.

Results: The mean age of the respondents were 56.85(±10.84) years, ranging from 35 to 77 years. Among 200 patients, 129 (64.5%) were hypertensive and 71 (35.5%) were normotensive with a mean duration of hypertension was 10.03 (±3.39) years. The mean HbA1c for all diabetic, hypertensive and normotensive patients were 7.41% (±1.35), 7.63% (±1.30) and 7.02% (±1.37) respectively. The mean HbA1c was significantly higher in hypertensive than normotensive group (p=0.002). The mean HbA1c was also significantly higher in patients with duration of hypertension (p=0.03) for more than 10 years and in patients who used beta blocker (p=0.005) and diuretics (p=0.02) as hypertensive medication. Among the patients with normal BMI and on dietary modification, those who were hypertensive had significantly higher (p=0.00008) mean HbA1c (7.12(±0.99)) than those were normotensive (5.01(±0.01)).

Conclusion: The glycemic control in type 2 DM is found to be poor among the hypertensive patients. There is a complex association of multiple factors like age, gender, duration of hypertension and medications strongly influence the glycemic control of type 2 diabetics with hypertension.

J MEDICINE JAN 2021; 22 (1) : 12-17

Downloads

Download data is not yet available.
Abstract
69
PDF
68

Downloads

Published

2021-01-14

How to Cite

Amin, M. A., Zannat, T., Uddin, M. N., Md Moniruzzaman, .-., Md Habibullah, .-., Kabir, A. H., & Karim, M. E. (2021). Relation between Glycemic Control among the Patients with Type 2 DM and Level of Blood Pressure. Journal of Medicine, 22(1), 12–17. https://doi.org/10.3329/jom.v22i1.51385

Issue

Vol. 22 No. 1 (2021)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).