Prevalence of hypertension among diabetic patients and its relation to vascular risk. Diabetes Hypertension Study Group

Abstract

In order to determine the factors related to the occurrence of hypertension in diabetic patients, blood pressure distributions were determined, using standardised methods, in a sample of 5,842 patients attending ten diabetic clinics in the London area. After allowing for the influence of age and obesity, BPs tended to be higher in patients with non-insulin-dependent diabetes compared with those with insulin-dependent diabetes, and were in general higher in males compared with females. Average BPs were lower in South Indian patients when contrasted with Caucasians and Afro-Caribbeans. The frequency of WHO-defined hypertension was highest in the non-insulin-dependent patients older than 55 years, being 43% for males and 52% for females. A substantial proportion of subjects already taking anti-hypertensive treatment had BPs above 160/95 mmHg. Centile distributions of BP in this population have been used to assess the implications of treatment strategies in diabetic patients.