Evaluación y control de los hipertensos diabéticos atendidos en centros de Atenci¨®n Primaria de España. Estudio BRAND II / Evaluation and control of hypertensive diabetics seen in Primary Care centres in Spain. BRAND II study

ObjetivoEstudiar el grado de control y el tratamiento empleado en los hipertensos diab¨¦ticos atendidos en los centros de Atenci¨®n Primaria en España.DiseñoEstudio descriptivo realizado a pacientes hipertensos y diab¨¦ticos que acuden a consulta m¨¦dica de Atenci¨®n Primaria por cualquier motivo.EmplazamientoCentros de Atenci¨®n Primaria de todo el territorio nacional.ParticipantesSe incluyeron 6.777 pacientes.Mediciones principalesSe les determin¨® la presi¨®n arterial, peso, talla, per¨ªmetro de cintura, anal¨ªtica completa y tratamiento.ResultadosLa edad media de la muestra fue de 64,40¡À11,50 años. La glucosa media fue de 141,8¡À39mg/dl, la hemoglobina glicosilada fue < 7% en el 45,9% de la muestra y la presi¨®n arterial estaba controlada (PA<130/80 mmHg) en el 9,8% de los pacientes estudiados. El LDL colesterol era inferior a 100mg/dl en el 25,3% de los pacientes. Los f¨¢rmacos m¨¢s utilizados para el control de la diabetes fueron las sulfonilureas en 2.259 pacientes (33,1%) y las biguanidas en 3.768 pacientes (55,6%). Estaban en tratamiento con insulina 556 pacientes, lo que representa el 8,2%. Respecto a la hipertensi¨®n arterial los f¨¢rmacos m¨¢s utilizados fueron los diur¨¦ticos en 3.395 pacientes (50,1%) y los inhibidores de la enzima convertidora de angiotensina en 4.053 pacientes (59,8%)(AU)

ObjectiveWe aimed to verify the level of blood pressure and glucose control and treatment in hypertensive diabetics seen in Primary Care Centres in Spain.DesignDescriptive study conducted on hypertensive diabetic patients who attended primary care centres for any reason.LocationPrimary Care centres throughout Spain.ParticipantsThe study included 6,777 patients.MeasurementsBlood pressure, weight, height, waist circumference, blood analysis and treatment were recordedResultsThe mean age of the sample was 64.40 (11.50) years. Mean blood glucose was 141.8 (39) mg/dl, glycosylated haemoglobin was ¡Ü7% in 45.9% of the sample, and blood pressure was under control (BP¡Ü130/80 mmHg) in 9.8% of the patients studied. LDL Cholesterol was ¡Ü100mg/dl in 25.3% of the sample. The drugs most used to control diabetes were; sulphonylureas 2259 patients (33.3%) and biguanides 3768 patients (55.6%). A total of 556 patients were on treatment with insulin, which represented 8.2% of the population studied. The drugs most used for hypertension were; diuretics in 3395 patients (50.1%) and angiotensin-converting enzyme inhibitors in 4053 patients (59.8%).ConclusionsA large proportion of hypertensive diabetics are insufficiently controlled(AU)

[Evaluation and control of hypertensive diabetics seen in Primary Care centres in Spain. BRAND II study]. / Evaluación y control de los hipertensos diabéticos atendidos en centros de Atención Primaria de España. Estudio BRAND II.

OBJECTIVE: We aimed to verify the level of blood pressure and glucose control and treatment in hypertensive diabetics seen in Primary Care Centres in Spain. DESIGN: Descriptive study conducted on hypertensive diabetic patients who attended primary care centres for any reason. LOCATION: Primary Care centres throughout Spain. PARTICIPANTS: The study included 6,777 patients. MEASUREMENTS: Blood pressure, weight, height, waist circumference, blood analysis and treatment were recorded RESULTS: The mean age of the sample was 64.40 (11.50) years. Mean blood glucose was 141.8 (39) mg/dl, glycosylated haemoglobin was ≤7% in 45.9% of the sample, and blood pressure was under control (BP≤130/80 mmHg) in 9.8% of the patients studied. LDL Cholesterol was ≤100mg/dl in 25.3% of the sample. The drugs most used to control diabetes were; sulphonylureas 2259 patients (33.3%) and biguanides 3768 patients (55.6%). A total of 556 patients were on treatment with insulin, which represented 8.2% of the population studied. The drugs most used for hypertension were; diuretics in 3395 patients (50.1%) and angiotensin-converting enzyme inhibitors in 4053 patients (59.8%). CONCLUSIONS: A large proportion of hypertensive diabetics are insufficiently controlled.