Managing hypertension in people of African origin with diabetes: Evaluation of adherence to NICE Guidelines.

Kempegowda, Punith and Chandan, Joht Singh and Abdulrahman, Sahar and Chauhan, Aneela and Saeed, Mujahid Ahmad (2019) Managing hypertension in people of African origin with diabetes: Evaluation of adherence to NICE Guidelines. Primary care diabetes. ISSN 1878-0210.

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Official URL: https://www.primary-care-diabetes.com/article/S175...

Abstract

BACKGROUND

The pathophysiology of hypertension in people of African origin differs from other ethnicities. This effect may be exacerbated in people with type 2 diabetes mellitus (T2DM), hence control of hypertension is particularly important in this population.

AIMS

The primary aim was to evaluate the adherence to National Institute of Clinical Excellence (NICE) guidance (National Guidelines NG28) for hypertension management in African origin patients with T2DM.

METHODS

This study was done using electronic health records at a large primary care centre based in Birmingham, UK. Strict exclusion criteria were applied to identify individuals with T2DM, African origin patients and a diagnosis of hypertension. Retrospectively participants were identified, and NICE guideline adherence was assessed using descriptive statistics.

RESULTS

78 patients were included in the study of which 28 (36%) were on the NICE recommended combination of antihypertensives, suggesting poor adherence to the guidance in primary care prescribing. The blood pressure control of 35 (44.9%) patients was suboptimal, although this group received more frequent blood pressure monitoring. Microalbuminuria remains a problem in the suboptimal group.

CONCLUSION

This study provides insight into adherence to NICE guidance for managing hypertension in African origin patients with diabetes. Further work should be done to explore the effects of hypertension in this ethnic group and if there is a need for a more refined management guideline.

Item Type: Article
Subjects: WK Endocrine system. Endocrinology
Divisions: Ambulatory Care > Diabetes
Related URLs:
Depositing User: Mrs Semanti Chakraborty
Date Deposited: 06 Mar 2019 16:31
Last Modified: 06 Mar 2019 16:31
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1873

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