Vol.26 N.6  november-december 2010
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Av. Diabetol. 2010;26(6):424-429

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Blood pressure control in diabetics type 2 treated with insulin

Original articles - Vol.26 N.6  november-december 2010
E. Márquez Contreras1, J.J. Casado Martínez2, J.L. Martín de Pablos3, V. Gil Guillén4, J. Ferraro García5, R. Chaves González6, A. Fernández Ortega7

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Objective: To know the blood pressure (BP) control in patients with type 2 dia- betes treated with insulin after two years of follow-up. Setting: 9 health centers of Primary Care. Design: Prospective, longitudinal, multicentric study performed in Primary Care settings. 121 patients with type 2 diabetes who needed initiation or modifi cation of insulin therapy were included. During the 2 years of follow-up, 5 visits (inclusion, and 6,12,18, and 24 months) were performed. The compliance was studied by means of count of insulin. BP was measured in two occasions and mean BP and degree of BP control was evaluated. Good control was defined when SBP was <140 mmHg, and DBP was <90 mmHg, respectively. Results: 103 patients (85.1%) (mean age 66.4 years, SD 11.6) concluded the study, of which 45 were men (43.69%). SBP and DBP were respectively 140.2 (SD 14.2) and 86.1 (SD 9.2) mmHg at the initial visit, 140.3 (SD 14) and 86.8 (SD 8.6) mmHg at 1 year and 141.3 (SD 14.5) and 86.9 (SD 8.3) at 2 years (p= NS between initial-fi nal visit). 37.8% (CI 95%: 28.4-47.2), 53.4% (CI 95%: 43.8-63) and 38.8% (CI 95%: 29.43-48.17) for visits (initial, 12 and 24 months, respectively) (p= NS initial-fi nal) had BP controlled. Conclusions: Blood pressure control in patients with type 2 diabetes treated with insulin is very low, without changes after 2 years of follow-up.



E. Márquez Contreras
Correo electrónico:


primary health care blood pressure control diabetes mellitus type 2 diabetes mellitus prospective study insulin


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