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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?


Embedded ImageDesign:

cluster randomised controlled trial (RCT).

Embedded ImageAllocation:


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 …

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  • For correspondence: Dr C Bebb, Renal Unit, Nottingham University Hospitals, Nottingham, UK. charlottebebb{at}

  • Source of funding: NHS Executive, Trent, UK.