Home blood pressure vs. clinic blood pressure measurement-based follow up in type II diabetics: Effect on 24-h ambulatory BP and albuminuria. Randomised trial

M. Martínez,J. García-Puig,Maria P. Loeches,M. C. Mateo,Isaías Utiel,R. Torres,en representación del Grupo de trabajo Mapa,Recava

Published 2018 in Medicina Clínica (English Edition)

ABSTRACT

Abstract Bakground and objective To compare the efficacy of two strategies of blood pressure (BP) measurement-based follow-up in hypertension and albuminuria control. Patients and methods Multicentre, prospective, randomized, open trial with a parallel-group design. Nineteen primary care centres and a hospital clinic participated. Adult type 2 diabetics with systolic BP ≥140 mmHg without relevant renal disease were randomized to one of two follow-up strategies: (1) standard follow up, with a clinic BP target Results 116 patients were analyzed (mean age: 66.8 years). Mean systolic ambulatory 24-h BP change in two years was 3.9 mmHg (95% CI 1.8–6.1). We did not find significant differences between both groups (p = 0.706). Similarly, no differences were found when we compared other ambulatory BP values. Initial albuminuria was similar in both groups and did not significantly changed throughout the follow-up period. Conclusion In type 2 diabetics without relevant nephropathy a SMHBP- based follow up was equivalent to a standard clinic-based BP follow up in BP and albuminuria control.

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