Management of Hypertension in Patients with Diabetes: A Comprehensive Review of the Perceptions and Practices of Health Care Providers in India

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dc.contributor.authorRam, C Venkata Sen_US
dc.contributor.authorMohan, Ven_US
dc.contributor.authorPandit, Kaushiken_US
dc.contributor.authorKumar, Surenderen_US
dc.contributor.authorSahay, Rakeshen_US
dc.contributor.authorJohn, Mathewen_US
dc.contributor.authorShaikh, Shehlaen_US
dc.contributor.authorRevankar, Santoshen_US
dc.contributor.authorKumar, Neerajen_US
dc.date.accessioned2023-06-17T07:41:02Z
dc.date.available2023-06-17T07:41:02Z
dc.date.issued2022-07
dc.description.abstractObjectives: This study evaluated the perception and practices of health care providers (physicians, diabetologists, and endocrinologists) regarding the treatment of hypertension in patients with diabetes in India. Methods: Health care providers throughout India who treated patients with diabetes and hypertension were invited to participate in an online survey and periodic 21 virtual meetings. They were questioned about their perception and practices in managing these patients, and strategies to improve blood pressure (BP). Results: The online survey was completed by 2,513 health care providers, and 344 participated in virtual meetings. More than 50% reported that 31–50% of their patients with diabetes also had hypertension. Home BP monitoring was recommended by 88%, and lifestyle modifications were consistently recommended. Choice of antihypertensive treatment varied based on comorbidities, and a renin–angiotensin system blocker plus a calcium channel blocker (CCB) was the most common combination for dual antihypertensive therapy. Suggested strategies to improve BP control included patient awareness/education, lifestyle modifications, better follow-up/monitoring, and optimization of therapy. Conclusion: Indian health care providers were aware of clinical recommendations and practices regarding treatment of patients with diabetes and hypertension, and generally make clinical decisions consistent with current guidelines. Optimization of care for these patients is essential to reduce cardiovascular disease risk and improve patient outcomes.en_US
dc.identifier.affiliationsDirector, Apollo Institute for Blood Pressure Management and Apollo Blood Pressure Clinics, Apollo Hospitals, Hyderabad, Telanganaen_US
dc.identifier.affiliationsChairman and Chief Diabetologist, Dr. Mohan’s Diabetes Specialities Centre, Chennai, Tamil Naduen_US
dc.identifier.affiliationsConsultant Endocrinologist and Diabetologist, Fortis Hospital and Belle Vue Clinic, Kolkata, West Bengalen_US
dc.identifier.affiliationsChairman, Department of Endocrinology, Sir Ganga Ram Hospital, New Delhi, Delhien_US
dc.identifier.affiliationsProfessor of Endocrinology, Department of Endocrinology, Osmania Medical College, Hyderabad, Telanganaen_US
dc.identifier.affiliationsConsultant Endocrinologist, Providence Endocrine and Diabetes Specialty Centre, Trivandrum, Keralaen_US
dc.identifier.affiliationsConsultant Endocrinologist, Prince Aly Khan Hospital and Saifee Hospital, Mumbai, Maharashtraen_US
dc.identifier.affiliationsDeputy General Manageren_US
dc.identifier.affiliationsAssistant Manager, Scientific Services, USV Private Limited, Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationRam C Venkata S, Mohan V, Pandit Kaushik, Kumar Surender, Sahay Rakesh, John Mathew, Shaikh Shehla, Revankar Santosh, Kumar Neeraj. Management of Hypertension in Patients with Diabetes: A Comprehensive Review of the Perceptions and Practices of Health Care Providers in India. Journal of the Association of Physicians of India. 2022 Jul; 70(7): 59-64en_US
dc.identifier.issn0004 – 5772
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/216230
dc.languageenen_US
dc.publisherAssociation of Physicians of Indiaen_US
dc.relation.issuenumber7en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.5005/japi-11001-0041en_US
dc.titleManagement of Hypertension in Patients with Diabetes: A Comprehensive Review of the Perceptions and Practices of Health Care Providers in Indiaen_US
dc.typeJournal Articleen_US
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