Proportion of blood pressure control, predictors of blood pressure control, and associated microvascular effects among patients with diabetes mellitus type 2 attending Dodoma regional referral hospital

dc.contributor.authorMoirana, Ezekiel Noah
dc.date.accessioned2019-07-13T11:55:18Z
dc.date.available2019-07-13T11:55:18Z
dc.date.issued2016
dc.descriptionDissertation (MMED Internal Medicine)en_US
dc.description.abstractDiabetes and hypertension are among the most common diseases in developed countries and the frequency of both diseases tends to rise with age. According to JNC 8 criteria, the target Blood pressure control among diabetes patients is below 140/90 mmHg. A hospital-based cross-sectional study was carried out of 498 type 2 diabetic hypertensive patients who were attending hypertensive diabetic type 2 patients clinic at DRRH. The structured questionnaire was used to gather information on social-demographic variables, Anthropometric measurements were measured and bp was measured, retinopathy and proteinuria screening as well as symptoms for neuropathy were performed. The proportion of patients whose blood pressure was controlled with goal range is 30.9%; the predictor of good blood pressure control were: Residing in urban areas (OR= 5.85, 95% CI 3.88-6.98) and being unemployed (OR=2.01, 95% CI 1.27-3.64). The predictor of neuropathy was smoking (OR= 15.572, 95% CI 1.573- 154.191). The predictors of nephropathy were; Alcohol use (OR=2.294, 95% CI; 1.413-3.726) and the short period since being diagnosed with type 2 diabetes (OR= 3.66; 95% CI; .417-8.399). The predictors of retinopathy were; Low education (OR= 5.687, 95% CI 1.708-18.929) and cigarette smoking both current and past smokers (OR =5.062, 95% CI; 2.498-10.258 and OR 2.419, 95% CI; 1.379-4.244) respectively. The proportion of blood pressure control is very low, good predictors of blood pressure control are the area of residence and occupational status. This study has shown that there were some populations who had a higher risk of poor blood pressure control and microvascular complications.en_US
dc.identifier.citationMoirana E.N. (2016). Proportion of blood pressure control, predictors of blood pressure control, and associated microvascular effects among patients with diabetes mellitus type 2 attending Dodoma regional referral hospital. Dodoma: The University of Dodoma.en_US
dc.identifier.urihttp://hdl.handle.net/20.500.12661/620
dc.publisherThe University of Dodomaen_US
dc.subjectDiabetesen_US
dc.subjectHypertensionen_US
dc.subjectBlood pressureen_US
dc.subjectDiabetic type 2en_US
dc.subjectMicrovascular complicationsen_US
dc.subjectBlood pressure controlen_US
dc.subjectDodoma regional referral hospitalen_US
dc.titleProportion of blood pressure control, predictors of blood pressure control, and associated microvascular effects among patients with diabetes mellitus type 2 attending Dodoma regional referral hospitalen_US
dc.typeDissertationen_US
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