KIỂM SOÁT HUYẾT ÁP TRÊN NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG TYPE 2 MỚI CHẨN ĐOÁN

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a common cardiovascular risk factor in Vietnam. Newly diagnosed T2DM patients require aggressive multifactorial cardiovascular risk management, including blood pressure control, to reduce complications and mortality. Objective: This study aims to determine the rate of blood pressure control among newly diagnosed T2DM patients. Methods: A descriptive cross-sectional study was conducted on newly diagnosed T2DM patients within 6 months at the Endocrinology and Family Medicine Clinics of Ho Chi Minh City University Medical Center. Results: A total of 275 newly diagnosed T2DM patients participated in the study. The comorbidity rate of hypertension was 32.7%, with 27.8% achieving target blood pressure. Based on clinic blood pressure readings, 56.4% had blood pressure > 130/80 mmHg. Factors associated with not achieving target clinic blood pressure included age < 60 (OR 0.4, 95% CI 0.2-0.8), overweight/obesity (OR 2.1, 95% CI 1.1-3.8) and use of ACEi/ARB (OR 3.2, 95% CI 1.4-7.0). Conclusions: Newly diagnosed T2DM patients with comorbid hypertension as well as rates of uncontrolled office blood pressure require careful attention. Those who are overweight/obese or ACEi/ARB monotherapy should be followed closely to achieve target blood pressure in the clinic.