Characteristics of Masked Hypertension in Diabetes Mellitus Patientstype 2
Vu Thanh Binh *
Thai Binh University of Medicine and Pharmacy (TBUMP), Vietnam.
Nguyen Le Thuy
Thai Binh University of Medicine and Pharmacy (TBUMP), Vietnam.
Le Minh Hieu
Thai Binh University of Medicine and Pharmacy (TBUMP), Vietnam.
*Author to whom correspondence should be addressed.
Abstract
Monitoring blood pressure with a continuous blood pressure monitor to carry around to detect masked hypertension (MH) in type 2 diabetes patients who are on outpatient treatment at Thai Binh Medical University Hospital, Thai Binh, Vietnam.
Objective: Analysis of MH characteristics in type 2 diabetic patients.
Research Methods: Cross-sectional descriptive study, sample size of 186 patients with type 2 diabetes with MH determined by blood pressure monitor 24 hours. Analysis of 24-hour blood pressure results in MH patients.
Results: 186 patients with hypertension / type 2 diabetes, including 77 men and 109 more, the average age is 62.2 ± 9.3 years old, there are 98.9% of hypertensive patients with grade I, only 1.1% of hypertensive patients degree II; MH at night accounted for the highest rate of 43.0%, of which the average systolic blood pressure was 123.8 ± 9.8 mmHg, and diastolic blood pressure was 75.2 ± 6.1 mmHg; On average, the highest increase is around 9 am and 19 pm, slightly down around 13pm and down at the deepest around 2-3am. There is a synchronous variation between systolic and diastolic blood pressure.
Conclusion: Blood pressure should be monitored continuously for 24 hours in all patients with type 2 diabetes to detect and promptly treat MH.
Keywords: Type 2 diabetes, masked hypertension, hypertension, continuous blood pressure measurement