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KMID : 0648320090150030036
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Journal of The Korean Society of Hypertension
2009 Volume.15 No. 3 p.36 ~ p.42
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Clinical Characteristics According to the Presence of the Metabolic Syndrome in Type 2 Diabetic Patients with Hypertension
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Kim Tae-Ho
Kim Dae-Jung
Lim Soo
Jeong In-Kyung
Son Hyun-Shik
Chung Choon-Hee
Koh Gwan-Pyo
Lee Dae-Ho
Won Kyu-Chang
Park Jeong-Hyun
Park Tae-Sun
Ahn Ji-Hyun
Kim Jae-Taek
Park Keun-Gyu
Ko Seung-Hyun
Ahn Yu-Bae
Lee In-Kyu
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Abstract
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Background: The purpose of this study was to analyze the prevalence and characteristics of metabolic syndrome in type 2 diabetic patients with hypertension.
Methods: We collected total 4240 diabetic patients from the data of endocrine clinic of 13 University hospitals in 2006. We used criteria of the American Heart Association/National Heart Lung and Blood Institute and the criteria of waist circumference from the Korean Society for the Study of Obesity as diagnostic criteria of the metabolic syndrome.
Result: 74.9% of type 2 diabetic patients had hypertension and the prevalence of metabolic syndrome in type 2 diabetic patients with hypertension was 89.5%. Only 35.5% of diabetic patients had well controlled blood pressure below 130/80mmHg. Patients who had metabolic syndrome in type 2 diabetic patients with hypertension used more BP lowering medications (1.5 vs. 1.0), but didn’t control well.
Conclusion: The prevalence of metabolic syndrome was 89.5% in type 2 diabetic patients with hypertension. Although more BP lowering medication has been used, control rate is lower than those not having metabolic syndrome. We need to pay more attention to control blood pressure in type 2 diabetic patients with hypertension and metabolic syndrome.
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KEYWORD
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Diabetes mellitus, Hypertension, Metabolic syndrome
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