Study of prevalence of hypertension and its various risk factor in type 2 diabetes mellitus patients

Narendra M. Uma, Mahendra C. Parmar, Siddarth Shah, Sonal M. Dindod


Background: Surgical diabetes is syndrome of hyperglycemia and disturbance of carbohydrate, fat and protein metabolism associated with absolute or relative deficiency of insulin secretions. Diabetes mellitus and hypertension considered as a major medical and public health issues worldwide, and both are important risk factors for both macrovascular and microvascular diseases like coronary artery disease, heart failure and cerebrovascular diseases.

Methods: This cross-sectional study was conducted among 175 patients coming to Govt. medical college and SSG hospital, Vadodara from 2014 to 2015 having diabetes mellitus were studied and evaluated for hypertension  and its various risk factor like age, obesity.

Results: one hundred and twenty-nine (127) out of 175 subjects had hypertension, thus giving a prevalence rate of 73.7% of which 64 males (49.6%) were hypertensive compared with 65 (50.3%) females. Mean age of patients having hypertension with Diabetes Mellitus (case) is 59.87 compare to DM without hypertension (control) was 56.21. Mean BMI in diabetes cases with hypertension was 30.93 while without hypertension was 23.47 suggest obese are more prone to develop hypertension. Waist hip ratio DM with hypertension was 0.96 while was 0.81 in DM without hypertension.

Conclusion: Hypertension and its associated risk factor like obesity, dyslipidemia are important risk factor for development of complication in diabetes patients so early detection and intervention measures should be undertaken for aggressive control of  blood pressure control , obesity and it will  likely to offer the greatest promise for reducing the incidence of complications and its associated mortality.


Body mass index, Diabetes mellitus, Hypertension, Obesity, Waist -hip ratio, Prevalence

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Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047-53.

World health organization. Global report on diabetes ,World health organization 2016. Available at:;jsessionid=3874CBD2E72E993908A8C5B00BC97CB4?sequence=16

Unnikrishnan R, Anjana RM, Mohan V. Diabetes in South Asians: is the phenotype different?. Diabetes Care. 2014 Jan 1;63(1):53-5.

Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R. Prevalence of diabetes and prediabetes in urban and rural India: phase I results of the Indian Council of Medical Research-India diabetes study. Diabetol. 2011;54(12):3022-7.

Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, Di Angelantonio E, et al. Emerging Risk Factors Collaboration Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet. 2010;375(9733):2215-22.

The National High Blood Pressure Education Program Working group. Working, The National High Blood Pressure Education Program. Vol;23 : hypertension, 1994:145-158.

KDOQI. KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease. Am J Kidney Dis. 2007 Feb;49 (2 Suppl 2):S12-154.

Chen G, McAlister FA, Walker RL, Hemmelgarn BR, Campbell NR. Cardiovascular outcomes in Framingham participants with diabetes: the importance of blood pressure. Hypertension. 2011;57(5):891-7.

Venugopal K, Mohammed MZ. Prevalence of hypertension in type-2 diabetes mellitus. CHRISMED J Health Res. 2014;1(4):223.

Priya D, Dudhal K, Khakse GM, Meshram R, Hiwarkar PA, Wahab SN. Prevalence of hypertension among type 2 diabetes patients. Int J Sci Environ Technol. 2013;2(6):1401-6.

Ramachandran A, Snehalatha C, Viswanathan V. Burden of type 2 diabetes and its complications–The Indian scenario. Curr Sci. 2002 Dec 25:1471-6.

Shah A, Afzai M. Prevalence of diabetes and hypertension and association with various risk factors among different Muslim populations of Manipur, India. J Diabetes Metabol Dis. 2013,12:52;2251

Patil SS, Rajaram DR, Seeri JS. Correlation of waist hip ratio and BMI with hypertension and diabetes mellitus in an urban area of Bangalore city. National J Community Medi. 2015;6(1):82-5.

Kaur P, Radhakrishnan E, Sankarasubbaiyan S, Rao SR, Kondalsamy-Chennakesavan S, Rao TV, et al. A comparison of anthropometric indices for predicting hypertension and type 2 diabetes in a male industrial population of Chennai, South India. Ethnicity Dis. 2008;18(1):31-6.

Sushma K. Kataria, Isha Srivastava, Abhilasha Dadhich. The study of anthropometric parameters to predict cardiovascular disease risk factors in adult population of western Rajasthan. J Anat Soc India. 2010:59(2) 211-215.