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Diabetes Care. 2011 Jul;34(7):1579-81. doi: 10.2337/dc11-0178. Epub 2011 May 20.

Long-term and recent progress in blood pressure levels among U.S. adults with diagnosed diabetes, 1988-2008.

Author information

1
National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA. zrr4@cdc.gov

Abstract

OBJECTIVE:

To examine whether there were long-term (between 1988-1994 and 2001-2008) and recent (between 2001-2004 and 2005-2008) changes in blood pressure (BP) levels among U.S. adults with diagnosed diabetes.

RESEARCH DESIGN AND METHODS:

Using data from National Health and Nutrition Examination Surveys (NHANES), we examined changes in BP distributions, mean BPs, and proportion with BP<140/90 mmHg.

RESULTS:

Between 1988-1994 and 2001-2008, for adults with diabetes, mean BPs decreased from 135/72 mmHg to 131/69 mmHg (P<0.01) and the proportion with BP<140/90 mmHg increased from 64 to 69% (P=0.01). Although hypertension prevalence increased, hypertension awareness, treatment, and control improved. However, there was no evidence of improvement for adults 20-44 years old. Between 2001-2004 and 2005-2008, there were no significant changes in BP levels.

CONCLUSIONS:

BP levels among adults with diabetes improved between 1988-1994 and 2001-2008, but the progress stalled between 2001-2004 and 2005-2008. The lack of improvement among young adults is concerning.

PMID:
21602427
PMCID:
PMC3120172
DOI:
10.2337/dc11-0178
[Indexed for MEDLINE]
Free PMC Article
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