Contribution of the Ambulatory Measure of Blood Pressure (AMBP) to the Detection of Hypertension in Type 2 Diabetic Black African

Abstract

This paper is to determine the contribution of the ambulatory measure of blood pressure (AMBP) to the detection of hypertension in type 2 diabetic black African in Benin. Hypertension can stay unknown in diabetic patients. Patients and Methods: We conducted a cross-sectional, prospective, descriptive and analytical study at “Banqued’ insuline” of Cotonou, Polyclinique Atinkanmey and CHUD-Ouémé-Plateau. The study took place over a period of 6 months from March 01 to August 30 2014. The study included patients with type 1 or 2 diabetes who agreed to participate in the study and who made ambulatory measure of blood pressure (AMBP). Statistical analysis was done by using the software Excel 2013 and SPSS versus 18.0. Results: Sixty six patients were included. Forty one (62.1%) among them were female; sex-ratio was 0.61. The mean of age was 48.9 ± 8.8 years with range from 30 to 68 years. The prevalence of masked hypertension in type 2 diabetics was 37.9% (25/66). Abdominal obesity was the significative factor related to masked high blood pressure (HBP) in the type 2 diabetics (p = 0.005). Among diabetic with masked hypertension, 14 (56%) had “no dipper” profile and 11 (44%) had “dipper” profile. Conclusion: The ambulatory measure of blood pressure (AMBP) may take an important place in the detection of Hypertension in black type 2 diabetic subjects.