Prevalence of hypertension and blood pressure control rate in patients with type 2 diabetes mellitus in Beijing communities

Objective To survey the prevalence of hypertension and blood pressure control rate in patients with type 2 diabetes mellitus (T2DM) in Beijing communities. Methods Total 2849 patients with T2DM were selected by multi-stage sampling from 15 Beijing urban communities. The patients were surveyed with questionnaire, physical examination and laboratory tests were also performed. Results The prevalence of hypertension in T2DM patients was 70.8% (2016/2849), and the patients with blood pressure <140/90 mm Hg (1 mm Hg=0.133 kPa) accounted for 54.8%(1077/1960). The rate of blood pressure control (<130/80 mm Hg) was 17.8% (350/1966); there were significantly difference in triglyceride, fasting glucose, waist circumference and glycosylated hemoglobin levels between patients with blood pressure controlled and those with blood pressure not controlled. Elevation of urinary albumin excretion rate was more common in T2DM patients with hypertension than that in T2DM patients without hypertension. Conclusions The prevalence of hypertension is high and the blood pressure control rate is low in T2DM patients of Beijing communities. Multi-risk factor control and effective community-based management for T2DM with hypertension should be emphasized. Key words: Community health services; Diabetes mellitus, type 2; Hypertension; Treatment outcome