Coexistence of hypertension in type 2 diabetes mellitus patients (Co-tension-D2 study)

Background: the co-existence of hypertension and type 2 diabetes mellitus is very common. hypertension remarkably increases the cardiovascular risk in diabetic patients. aim: to see the prevalence of hypertension in already known type 2 diabetic patients. methods: this cross-sectional survey was comprised 556 patients and conducted in endocrine & diabetes clinic,department of medicine,shaikh zayed hospital lahore from 4th feb 2014 to 3rd nov 2014. patients of either sex,aged 35-55 and above,with different body mass indices (bmis) were included. patients who were smokers,type 1 diabetes mellitus,congestive cardiac failure (ccf),arrhythmias,chronic kidney disease (ckd) were excluded. results: there were 212(38.2%) males and 344(61.8%) females with mean age of the gender 51.84±8.59 years. two hundred and twelve (32.2%) patients had diabetes for <10 years and 344 patients (51.8%) had diabetes >10 years duration. 54 (31.8%) males and 116(62.2%) females were having 'diabetes alone whereas out of remaining 386,158 (41%) males and 228(59%) females had coexistent hypertension. by analyzing group b subgroups i.e. aware group b-(a),and unaware group b-(u),almost 50% were unaware of their coexistent hypertension. conclusion: coexistence of hypertension in diabetics is often undiagnosed and is associated with increased markers of vascular disease that may be a link to the important macro and micro vascular risk seen.