Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & ISI's SCI  
Users online: 5431  
Home | Subscribe | Feedback | Login 
About Latest Articles Back-Issues Article Submission Resources Sections Etcetera Contact
 
  NAVIGATE Here 
 ::   Next article
 ::   Previous article
 ::   Table of Contents

 RESOURCE Links
 ::   Similar in PUBMED
 ::  Search Pubmed for
 ::  Search in Google Scholar for
 ::Related articles
 ::   Citation Manager
 ::   Access Statistics
 ::   Reader Comments
 ::   Email Alert *
 ::   Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed8124    
    Printed137    
    Emailed5    
    PDF Downloaded372    
    Comments [Add]    
    Cited by others 5    

Recommend this journal


 

 ORIGINAL ARTICLE
Year : 2008  |  Volume : 54  |  Issue : 4  |  Page : 252-258

Gender-based treatment outcomes in diabetic hypertension


1 Primary Care, Ministry of Health Manama, Manama, Bahrain
2 Department of Pharmacology and Therapeutics, Arabian Gulf University, Manama, Bahrain

Correspondence Address:
KAJ Al Khaja
Department of Pharmacology and Therapeutics, Arabian Gulf University, Manama
Bahrain
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.41433

Rights and Permissions

Background: In developing countries, gender-based treatment disparities in cardiovascular preventive therapy have received little attention. Aims: To evaluate the gender-based differences in cardiovascular disease risk profile, drug prescribing pattern, and blood pressure (BP) and glycemic control rates in diabetic hypertensives treated at primary care setting in Bahrain. Settings and Design: A retrospective study at primary care setting. Materials and Methods: An audit of the medical records of 392 diabetic hypertensives (127 men, 265 women). Results: BP and glycemic targets were achieved in <10% and <13% of diabetic hypertensives, respectively. Angiotensin converting enzyme inhibitors monotherapy was more often prescribed in males. Apart from this, no significant differences in prescribing pattern were observed between male and female diabetic hypertensives treated with either antihypertensive mono or multidrug therapies. With the exception of insulin which was more often prescribed to females, a similar prescribing pattern and rank order of antidiabetics, either as monotherapy or combinations, was observed in both genders. The majority of diabetic hypertensives were at high cardiovascular risk. The body mass index and total cholesterol level were greater in females. Prescribing lipid-lowering drugs and aspirin were suboptimal; aspirin was more often prescribed to males. There was no gender-based difference with regard to the use of lipid-lowering drugs. Conclusions: BP and glycemic controls were suboptimal in both male and female diabetic hypertensives treated by primary care physicians. Cardiovascular disease preventive strategies have received little attention regardless of gender or other risk factors. Gender-based treatment inequities also need to be addressed.






[FULL TEXT] [PDF]*


        
Print this article     Email this article

Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow