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Use of a treatment algorithm did not improve blood pressure control in primary care patients with type 2 diabetes

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 Q Does a treatment algorithm improve blood pressure (BP) control in primary care patients with type 2 diabetes?

METHODS

Embedded ImageDesign:

cluster randomised controlled trial (RCT).

Embedded ImageAllocation:

concealed.

Embedded ImageBlinding:

blinded (data analysts).

Embedded ImageFollow-up period:

1 year.

Embedded ImageSetting:

42 general practices in Nottingham, UK.

Embedded ImagePatients:

1534 patients 18–80 years of age (mean age 64 y, 59% men) who had type 2 diabetes and had not required insulin within 12 months of diagnosis. Exclusion criteria were life expectancy <1 year and inability to attend appointments.

Embedded ImageIntervention:

20 practices (797 patients) were allocated to use of a treatment algorithm for 1 year. Practice nurses received training and guidelines on the use of the algorithm for measuring, monitoring, and treating hypertension (ie, monthly BP checks and use of specified antihypertensive drugs [AHDs] for BP ⩾140/90 mm Hg until a target …

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