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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

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dc.creator Moirana, Ezekiel Noah
dc.date 2019-07-13T11:55:18Z
dc.date 2019-07-13T11:55:18Z
dc.date 2016
dc.date.accessioned 2022-10-20T14:03:12Z
dc.date.available 2022-10-20T14:03:12Z
dc.identifier Moirana 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.
dc.identifier http://hdl.handle.net/20.500.12661/620
dc.identifier.uri http://hdl.handle.net/20.500.12661/620
dc.description Dissertation (MMED Internal Medicine)
dc.description Diabetes 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.
dc.publisher The University of Dodoma
dc.subject Diabetes
dc.subject Hypertension
dc.subject Blood pressure
dc.subject Diabetic type 2
dc.subject Microvascular complications
dc.subject Blood pressure control
dc.subject Dodoma regional referral hospital
dc.title 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.type Dissertation


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