A Prospective Study on Antihypertensives Utilization in Type 2 Diabetic patients in a Tertiary Care Teaching Hospital
Background: Hypertension is more prevalent in Type 2 Diabetes Mellitus patients. Hypertension is risk factor not only for development of diabetes but also for complications like nephropathy, CAD and neuropathy etc. Hypertension control is vital to prevent and retard progression of microvascular and macrovascular complications. Therefore, this study was carried out to evaluate treatment patterns in diabetic patients with hypertension, those are being followed at our institute.
Methods: This study was conducted on diabetic patients, who are also suffering from Hypertension. Prescribing Pattern of Antihypertensive drugs was analysed on all diabetic patients reporting to medicine OPD at Department of Medicine, AIIMS, Udaipur and were screened.
Results: Out of n=110 patients, 62 were males and 48 were females. Mean age of group was 47.65 years. 46.18% patients were on monotherapy and remaining patients were on combination antihypertensive drugs. There were total 260 antihypertensive drug exposures. Angiotensin receptor blockers were the most commonly prescribed drugs (n=48). Angiotensin inhibitors (angiotensin receptor blockers and ACE inhibitors) were utilized in majority of the patients. Hypertension control was achieved in 42.36% patients. About 78.58% were aware about the disease.
Conclusions: Our study revealed that majority of diabetic hypertensive patients were administered multiple drug therapy in order to control hypertension. Majority of the patients were on ARBs/ACE inhibitors. This was according to recommendation by ADA or JNC8.
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