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Study: Doctors Not Always Sure When to Treat Blood Pressure in People With Diabetes
Date:5/19/2008

to monitor and record their blood pressure and look at averages over time, she says. If their average is above the target, it might be time to change treatment.

Finally, another major factor interfering with a patient's chances of getting a treatment adjustment turned out to be somewhat predictable: attention to other issues. If a patient's chief reason for coming to the clinic was unrelated to their diabetes or their blood pressure - for instance, if they were seeking treatment for pain - they were much less likely to receive attention for their blood pressure. The same was true for clinic visits where a patient's medications weren't discussed.

The team is continuing its study to see how long it takes for patients to get a treatment change. They hope their work will help guide further hypertension guidelines, and standardization of clinic practices. And that, they hope, will help millions of diabetes patients protect their long-term health.

In addition to Kerr and Hofer, the researchers include Brian Zikmund-Fisher, Ph.D., Mandi Klamerus, MPH, Usha Subramanian, M.D., M.S., and Mary M. Hogan, Ph.D., RN. Funding for the study came from the VA, and from the Michigan Diabetes Research and Training Center. Reference: Annals of Internal Medicine, May 20, 2008, Vol. 148, No. 10.

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SOURCE University of Michigan Health System
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