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Volume 4 Journal of Pediatric Care
ISSN: 2471-805X
Page 36
JOINT EVENT
August 06-07, 2018 Madrid, Spain
&
2nd Edition of International Conference on Adolescent Health & Medicine
18th International Conference on Pediatrics Health
Pediatrics Health 2018
&
Adolescent Health 2018
August 06-07, 2018
Predictors of blood pressure control among hypertensive Type-2 diabetic patients in Dodoma Region,
Central Tanzania: A cross sectional study
Ezekiel Noah Moirana
University of Dodoma, Tanzania
Background: Hypertension is one of the most common conditions in patients with type 2 diabetes. It increases morbidity
and mortality if remains uncontrolled. Very few studies have been done in sub-Saharan Africa to determine degree of blood
pressure control among patients with type 2 diabetes. This study aimed at determining the degree of blood pressure control and
associated factors among type 2 diabetics.
Methods: A cross sectional study was conducted among type 2 diabetic patients on hypertension treatment for at least 6
months attending diabetic clinic at Dodoma regional referral hospital. A structured questionnaire was used to collect socio-
demographic and clinical data. Blood pressure was taken for all participants and classified based on JNC 7. Adequate control
was defined as a blood pressure of <130/80mmHg. Data was analyzed using SPSS version 16; continuous variables were reported
as mean/median with respective standard deviation/interquartile range and categorical variables were reported as frequency
with their respective percentages. Logistic regression was used to determine association between blood pressure control and
other variables. Analysis was done at a 95% level of confidence, a p value of ≤ 0.05 was considered significant.
Results: A total of 498 participants were enrolled for the study. Out of the participants,60.8% were male, 60.2% were living in
urban setting, and 68.9% were married, 93% were using oral hypoglycemic, while 42.8% are known diabetic for 6-10 years.
Only 30.9% of the participants had their blood pressure controlled at the time of study. After adjustment for other variables,
living in urban setting (AOR=5.85, 95% CI 3.88-6.98), being a peasant (AOR=2.01, 95% CI 1.27-3.64), and using a beta blocker
(AOR=1.66 95% CI 1.23-2.08), were significantly associated with blood pressure control.
Conclusion: Very few type 2 diabetic patients with hypertension attain the recommended blood pressure target despite being
on treatment. Living in an urban setting, being a peasant and the use of a beta blocker were significantly associated with good
blood pressure control. Results highlight the need to scale up interventions geared at assisting diabetic patients control their
blood pressure to prevent severe complication.
Biography
Ezekiel Noah Moirana is a 38 years old, Tanzanian and a General Physician. He did his MBBS at International Medical and Technological University (IMTU) on
March 2011. He graduated his MMED-Internal Medicine at University of Dodoma (UDOM) on September 2016. Currently he is working as a Physician at Benjamin
Mkapa Hospital in Dodoma, Tanzania. He has done research on Microvascular complication in Type 2 diabetes and hopefully will be published in an American
Journal on October. He has done research on the association of Bush meat with high blood pressure which is also waiting to be published. Also he has done
research on Hepatitis B prevalence among the health workers, awareness and prevalence.
Ezekiel Noah Moirana, J Pediatr Care 2018, Volume 4
DOI: 10.21767/2471-805X-C3-011