Title: Prevalence of Hypertension, Obesity and Its Influence on Achievement of Therapeutic Goals in Indian Type 2 Diabetes Patients: A retrospective observational study at tertiary diabetes care centre in Bihar
Author: Dr Akhouri Sukrit Prakash
Aim: The present study was conducted to observe the prevalence of hypertension, obesity and its Influence on Achievement of Therapeutic Goals in Type 2 Diabetes Patients who were attending diabetes care centre in Bihar.
Method: The observational study was undertaken at Prakash diabetes care hospital at Patna city in Bihar. A total sample of 1400 type 2 diabetes patients attending the medical outdoor patient department were studied to assess the prevalence hypertension, obesity and its influence on achievement of therapeutic goals. Anthropometric data was collected by using standard questionnaire by measuring body weight, height, west circumference and hip circumference. A mercury sphygmomanometer (Diamond Deluxe Blood Pressure apparatus, Pune, India) was used to determine the sitting blood pressure of right arm. Glycated haemoglobin (HbA1c) test was performed at hospital laboratory to determine glycemic level.
Result: There were 42.6% subjects who were overweight and 18.2% type 2 diabetes patents were obese. Prevalence of hypertension was 79.8% in this category of subjects. Among this subjects target goals were achieved by 12.6% of subjects who were overweight and 9.6% of subjects who were obese. The subjects who were having normal BMI among both over weight and obese were less likely to achieve target glycemic goal. It was also observed that prevalence of hypertension, obesity was quite high in type 2 diabetic patients of Patna city. Subjects who had abdominal obesity with hypertension were unable to achieve target glycemic control than those without abdominal obesity and hypertension.
Conclusion: Hypertension and obesity were associated with poor glycemic control in Indian type 2 diabetes patients mainly receding at Bihar. To manage the situation a proper clinical awareness and management of obesity and hypertension is essential with lifestyle modification and strict exercise to achieve target glycemic control among type 2 diabetes subjects.
Keywords: Hypertension, Obesity, Diabetes, BMI, west circumference.