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See Latest ArticlesDrug management for hypertension in type 2 diabetes in family practice
Canadian Family Physician, 07/16/09
Putnam W et al. - Hypertension is a common problem in family practice, and despite improvements in screening and treatment rates in recent years, many patients do not reach target blood pressure (BP) control rates. This is particularly true for patients with type 2 diabetes and hypertension. Inadequate drug treatment is often cited as the reason for poor BP control, so this study sought to explore the number, type, and intensity of hypertension medications prescribed for patients with type 2 diabetes. The authors found that despite averaging 2.5 antihypertensive medications per person, at close to maximum dosing, two-thirds of participating patients did not achieve target BP values. The authors conclude that practice-based strategies to increase dosing and numbers of drugs prescribed might be required, as is more research about groups of patients who are particularly poorly controlled, but they note that these patients might be resistant to such strategies, owing to the number of medications required to manage their multiple conditions.
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