1) The document examines cardiovascular disease risk factors, treatment of hypertension, and survival rates in patients with hypertension or type 2 diabetes treated in primary care in Sweden between 1992-2000.
2) It found that 57% of patients with hypertension also had type 2 diabetes, and 26% of patients with type 2 diabetes also had hypertension. Patients with both conditions had higher risk factors.
3) High blood glucose, triglycerides, obesity, insulin resistance, and microalbuminuria were linked to higher diastolic blood pressure in women. High blood glucose and known diabetes predicted higher mortality rates in both genders.
1) The document examines cardiovascular disease risk factors, treatment of hypertension, and survival rates in patients with hypertension or type 2 diabetes treated in primary care in Sweden between 1992-2000.
2) It found that 57% of patients with hypertension also had type 2 diabetes, and 26% of patients with type 2 diabetes also had hypertension. Patients with both conditions had higher risk factors.
3) High blood glucose, triglycerides, obesity, insulin resistance, and microalbuminuria were linked to higher diastolic blood pressure in women. High blood glucose and known diabetes predicted higher mortality rates in both genders.
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1) The document examines cardiovascular disease risk factors, treatment of hypertension, and survival rates in patients with hypertension or type 2 diabetes treated in primary care in Sweden between 1992-2000.
2) It found that 57% of patients with hypertension also had type 2 diabetes, and 26% of patients with type 2 diabetes also had hypertension. Patients with both conditions had higher risk factors.
3) High blood glucose, triglycerides, obesity, insulin resistance, and microalbuminuria were linked to higher diastolic blood pressure in women. High blood glucose and known diabetes predicted higher mortality rates in both genders.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
University dissertation from Community Medicine AUTHOR: Erik Bg-hansen; Lunds Universitet.; Lund University.; [2002] KEYWORDS: MEDICIN; MEDICINE; samhllsmedicin Socialmedicin Kardiovaskulra systemet Social medicine Cardiovascular system sekretion diabetologi diabetology Endokrinologi secreting systems Endocrinology primary care. treatment survival cardiovascular disease risk factors insulin resistance Hypertension type 2 diabetes; ABSTRACT: To examine cardiovascular disease risk factors, control of hypertension and survival in patients with hypertension treated in primary care, patients with hypertension and/or type 2 diabetes were surveyed for cardiovascular disease risk factors and treatment 1992-1993. For reference, a random population sample from the same community was surveyed 1993-1994. During 1998, antihypertensive prescriptions were registered. Vital status was ascertained until year 2000. The proportion of hypertension among patients with type 2 diabetes was 57%, and the proportion of type 2 diabetes among patients with hypertension was 26%. Compared to patients with hypertension alone, patients with both hypertension and type 2 diabetes had higher fasting blood glucose, fasting triglycerides, BMI and blood pressure. High fasting blood glucose, fasting triglycerides, obesity, insulin resistance and microalbuminuria were associated with diastolic blood pressure >=90 mmHg in women. Fasting blood glucose and known type 2 diabetes predicted mortality in both genders. Diastolic blood pressure >=90 mmHg predicted mortality in women. A significant decrease in prescriptions of calcium antagonists that was observed during 1996-1998 seemed to be initiated by reports on side-effects from these drugs, and a debate on drug costs. The coexistence of hypertension and type 2 diabetes was higher than previously demonstrated in Sweden. These patients were characterised by having a cluster of the metabolic syndrome risk factors, less controlled diastolic blood pressure and a high mortality, eliminating the female advantage in survival. All risk factors should be identified and treated in such patients with emphasis on means to reduce insulin resistance.