Use of a treatment algorithm did not improve blood pressure control in primary care patients with type 2 diabetes
Q Does a treatment algorithm improve blood pressure (BP) control in primary care patients with type 2 diabetes?
cluster randomised controlled trial (RCT).
blinded (data analysts).
42 general practices in Nottingham, UK.
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.
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 …