Assessment of antihypertensive treatment in elderly patients with type 2 diabetes

Zygmunt Chodorowski¹, Jacek Sein Anand¹, Barbara Cylkowska², Marek Wisniewski¹, Adam Hajduk¹, Wojciech Waldman¹

Summary
Introduction: Type 2 diabetes and concominant hypertension are common medical phenomenon. More than half of the patients with type 2 diabetes have accompanying hypertension, which results in an almost threefold increase in the frequency of main cardiovascular event.
Methods: The study included 927 patients with type 2 diabetes referred to the outpatient Department of Diabetology from general outpatient clinics and hospitals of the former Elbląg district over the years 1993-2002.
Results: The patients were divided into 2 groups, according to age. Group I included 421 patients (276 women and 145 men, aged from 65 to 94; mean 72.6 yes.). Group II consisted of 506 patients (239 women and 267 men aged from 33 to 64; mean 54.9 yrs.).
The arterial blood pressure <130/80 were found in 6.4% of patients in group I, and in 12.6% of cases in group II. In both groups the precentages of efficiency treated patients were similar. The extent of single-drug therapy was similar in both groups. The most frequently administered drugs were ACE inhibitors (72.5%), calcium channel blockers (42%) and thiaside and thiazide-derivatives diuretics (40%).
Conclusions: The recommended antihypertensive treatment was offered to contiously, and was threrefore hardly effective.

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