The elusive type 2 diabetes individual achieving tight blood pressure target: A phenotypic study

Optimal type 2 diabetes mellitus management: the randomised controlled OPTIMISE benchmarking study: baseline results from six European countries

“…These results support previous reports of poor levels of global control of vascular risk factors in patients with T2D. [51][52][53][54][55] Mean values of the critical quality indicators and proportion of patients who reached targets varied between individual countries. Investigating these differences between individual countries may lead to insights into the success of different treatment strategies in the countries involved.…”

“…51 In a study conducted by Andros, Egger and Dua, 52 only 28% of patients with diabetes achieved BP targets < 130/ 80 mmHg. In several other studies, only 16% of patients with T2D achieved strict BP targets, 53 and < 25% of patients with T2D achieved BP 135/80 with < 35% of those receiving statins achieving LDL-C < 2.6 mmol/L. 54 Furthermore, a recent, large, primary care setting survey on the under-treatment of hypercholesterolaemia (CEPHEUS), 55 found poor target attainment with respect to atherogenic cholesterol levels.…”

“…Other factors associated with failure to achieve BP targets in patients with T2D include sub-Saharan ethno-geographical origin, high alcohol consumption or low education. 53 Given the wide availability and overall efficacy of statins as an LLD class, achieving target levels for LDL-C should be theoretically easier than for BP or glycaemic control attainment. Furthermore, the increased potency of more recently approved statins, and the concurrent availability of agents such as ezetimibe and fibrates, which can further lower LDL-C when added to a statin, provide clinicians with effective tools for lowering LDL-C.…”