Background: Hypertension frequently coexists with type 2 diabetes (DM), and increases the risk of cardiovascular\r\noutcomes. The aim of the study was to obtain/maintain blood pressure (BP) goals (ADA/JNC 7) according to a\r\nstepwise algorithm using the medication supplied by the Brazilian government.\r\nMethods: A one-year, single-arm interventional study conducted with type 2 diabetes patients. Intervention\r\nconsisted of intensification of lifestyle changes and sequential prescription of drugs: diuretic; ACE inhibitors;\r\n�Ÿ-adrenergic blocking agent and calcium channel blocking agent if BP >130/80 mmHg.\r\nResults: Seventy-eight patients completed the trial. During intervention, the number of antihypertensive tablets\r\nrose (3.6 �± 3.5 vs. 5.9 �± 3.5 pills/patient; p <0.001), as the number of antihypertensive classes increased (1.8 �± 1.0 vs.\r\n2.70 �± 1.2; p < 0.01) and the overall drop of BP was 11 mmHg for SBP (145.0 �± 22.8 vs. 133.7 �± 20.9 mmHg;\r\np < 0.01) and 5 mmHg for DBP (78.7 �± 11.5 vs. 73.7 �± 10.5 mmHg; p = 0.001). Although the number of patients with\r\nBP in target almost doubled [14 (18.7%) vs. 30 (38.5%) p = 0.008], less than 40% of the patients achieved the proposed\r\ngoals.\r\nConclusions: A BP algorithm applied to type 2 diabetic and hypertensive patients is able to lower BP, however more\r\nthan half of the patients did not achieve the ADA/JNC 7 targets demonstrating the complexity of BP control in this\r\npopulation.
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