RESUMO
Background: Chronic hypertension, cellular dehydration, features of renal failure, and lack of certain important electrolytes - all show an interconnected pattern of development during courses of Type 2 diabetes mellitus. Aim and Objective: The present study was undertaken to evaluate and compare the electrolytes changes in short-term, middle-aged Type 2 diabetics and in diabetics, also associated with primary hypertension so as to evaluate the association of diabetes and hypertension on electrolytes metabolism. Materials and Methods: In the present study, estimation of fasting blood glucose and glycated hemoglobin was done by automatic analyzer. Similarly, serum electrolytes such as calcium, sodium, potassium, chloride, magnesium, and phosphorus were estimated in different groups in the central laboratory, using auto analyzer. Results: It is evident in the present study that serum sodium, potassium, magnesium, chloride, phosphorus, and glycosylated hemoglobin showed a statistical significant variation in hypertensive diabetics compared to control and other groups. Whereas, serum creatinine is unchanged in any group. However, all these variations are within the normal expected range of the parameters, studied. Conclusion: Variation observed with all the electrolytes even in the initial stage of treatment in hypertensive, diabetics, and in hypertensive diabetics, suggesting to maintain electrolytes balance by alteration in dietary habits to prevent their deficiency/excess in these patients. Providing magnesium supplementation to these patients in the early diagnose phase may prevent further complications related to it.
RESUMO
Background: Hypertension in diabetes is an added burden and the comorbidity a faster genesis of many cardiovascular diseases that exposes the diabetics to several complications, disabilities and higher mortality rate than the non-diabetics. This study therefore asses the knowledge and control practice of hypertension among the hypertensive diabetics attending the endocrine clinic of LAUTECH Teaching hospital Osogho, Osun state.Methods: A quantitative descriptive survey design was adopted and a total enumeration method was used in recruiting 102 hypertensive diabetics. A structured questionnaire was administered and used to collect data. Descriptive statistics was used to answer the research questions.Results: The overall knowledge level of hypertension among the hypertensive diabetics was above average with overall mean score of 54.01 (65.9%). The control practice level was fair with overall mean score of 45.1%.Conclusions: Efforts to increase the knowledge and control practices of hypertension should not focus only on general health education, but individual specific knowledge needs. practical sections that show case the lifestyle practices that will explain what hypertension self-care maintenance, monitoring and management practices such as exercise sections, diet sections actually means should be incorporated in the clinic routine.