Characteristics of patients with hypertension in a population with type 2 diabetes mellitus. Results from the Turkish Nationwide SurvEy of Glycemic and Other Metabolic Parameters of Patients with Diabetes Mellitus (TEMD Hypertension Study)

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dc.authoridBozkuş, Yusuf/0000-0002-6976-6659
dc.authoridYildiz, Bulent/0000-0003-1797-7662
dc.authoridAytürk Salt, Semra/0000-0002-1560-3459
dc.authoridBaldane, Suleyman/0000-0002-7001-4075
dc.authoridAKIN, SAFAK/0000-0003-3886-0500
dc.authoridCordan, ilker/0000-0002-5225-4905
dc.authoridAgbaht, Kemal/0000-0003-3122-5491
dc.authorwosidYumuk, Volkan Demirhan/AAB-6871-2021
dc.authorwosidBozkuş, Yusuf/AAA-5419-2021
dc.authorwosidKirik, Ali/AAL-5873-2020
dc.authorwosidYildiz, Bulent/ABD-7781-2020
dc.authorwosidAytürk Salt, Semra/U-4265-2017
dc.authorwosidBaldane, Suleyman/AAB-1887-2021
dc.authorwosidŞahin, İbrahim/HHY-8303-2022
dc.contributor.authorSabuncu, Tevfik
dc.contributor.authorSonmez, Alper
dc.contributor.authorEren, Mehmet Ali
dc.contributor.authorSahin, Ibrahim
dc.contributor.authorCorapcioglu, Demet
dc.contributor.authorUcler, Rifki
dc.contributor.authorAkin, Safak
dc.date.accessioned2024-08-04T20:49:06Z
dc.date.available2024-08-04T20:49:06Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: The present survey aimed to find out the demographical and clinical characteristics of patients with hypertension in a population with type 2 diabetes mellitus (T2DM) in Turkey. Methods: Patients with T2DM who were followed-up in tertiary endocrine units for at least last one year were recruited. Demographic, clinical and biochemical data of the patients were collected. Hypertension was defined as taking anti-hypertensive medications or having office arterial blood pressure (ABP) >140/90 mmHg or home ABP > 130/80 mmHg. Results: A total of 4756 (58.9% women) diabetic patients were evaluated. The percentage of patients with hypertension was 67.5% (n = 3212). Although 87.4% (n = 2808) of hypertensive patients were under treatment, blood pressure was on target in 52.7% (n = 1479) of patients. Hypertension proportions were higher in woman (p = 0.001), older, more obese, and those who had longer diabetes duration, lower education levels, higher frequency of hypoglycemic events (all p < 0.001) and higher triglyceride levels (p = 0.003). LDL cholesterol level and the percentage of smokers were lower in hypertensive group than in non-hypertensive group (both p < 0.001). The percentage of macro and microvascular complications was higher in the hypertensive group than in the normotensive one (both p < 0.001). In multivariate logistic regression analysis, being a woman (OR: 1.26, 95% CI: 1.04-1.51, p = 0.016), smoking (OR: 1.38, 95% CI: 1.05-1.80, p = 0.020), regular physical activity (OR: 1.24, 95% CI: 1.01-1.53, p = 0.039) and the presence of macrovascular complications (OR: 1.38 95% CI: 1.15-1.65, p = 0.001) were the significant predictors of good ABP regulation. The ratios of masked and white coat hypertension were 41.2% and 5.7%, respectively. Conclusion: Our findings indicate that two-thirds (67.5%) of adult patients with T2DM have hypertension. Co-existence of hypertension increases the frequency of macro and microvascular diabetic complications in these patients. Despite the critical role of hypertension in morbidity and mortality, only half of the patients have favorable ABP levels. Masked hypertension seems to be another important issue in this population. (c) 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.en_US
dc.description.sponsorshipSociety of Endocrinology and Metabolism of Turkey [04/10/201601]en_US
dc.description.sponsorshipThe TEMD study has funded by the Society of Endocrinology and Metabolism of Turkey (Grant no. 04/10/201601) .en_US
dc.identifier.doi10.1016/j.pcd.2020.11.001
dc.identifier.endpage339en_US
dc.identifier.issn1751-9918
dc.identifier.issn1878-0210
dc.identifier.issue2en_US
dc.identifier.pmid33277201en_US
dc.identifier.scopus2-s2.0-85097169183en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage332en_US
dc.identifier.urihttps://doi.org/10.1016/j.pcd.2020.11.001
dc.identifier.urihttps://hdl.handle.net/11616/99658
dc.identifier.volume15en_US
dc.identifier.wosWOS:000631703500020en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofPrimary Care Diabetesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHypertensionen_US
dc.subjectType 2 diabetesen_US
dc.subjectArterial blood pressureen_US
dc.subjectMasked hypertensionen_US
dc.subjectWhite coat hypertensionen_US
dc.titleCharacteristics of patients with hypertension in a population with type 2 diabetes mellitus. Results from the Turkish Nationwide SurvEy of Glycemic and Other Metabolic Parameters of Patients with Diabetes Mellitus (TEMD Hypertension Study)en_US
dc.typeArticleen_US

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