Characteristics of Masked Hypertension in Diabetes Mellitus Patientstype 2

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.