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.
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)
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2018
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Medicina Clínica (English Edition)
- Publication date
2018-06-01
- Fields of study
Medicine
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