Recent Trends of Diagnostic Guidelines and Non-Clinical Management with Assessment of the Role of Non-Clinical Management on Diabetes Hypertension Control among Urban Patients

Abstract

The comorbid conditions of diabetes with hypertension should be given special attention, especially in the Indian Scenario, as prevalence risen over the past few decades. Recently JNC-8 recommended the goal should be SBP140 mm Hg and DBP 90 mm Hg for adult age group that should be attained either by life style intervention or with pharmaecological treatment. The most recent glycemic goal recommended by the American Diabetes Association, selected on the basis of practically and the projected reduction in complications over times, is in general, an HbA¹C level of 7%. The general consensus is that an HbAC level of <7% should serve as a call to action to initiate or change therapy with the goal of achieving an HbAC level of ≥ 7% that to be needed to assess the role of non-clinical management of diabetes hypertension patients and this paper was an effort on aforesaid issue. The validation cohort n=100 for intervention group and 10 for control group. The main findings of the paper; it was observed that improved in awareness, attitude and practices for good control 86 percent subjects for diabetes hypertension. On the other hand, after intervention, the changes in their control was found among 58% patients. The major changes observed in salt intake, exercising, yoga, worship, not smoking, non-alcoholing. The dietary improvement in terms knowledge and practices among 52% subjects. The calculated value of chi-square was found much more higher (19.0) as compared to table value (3.841) at one degree of freedom and five percent significant level. Therefore null hypothesis rejected and alternate hypothesis accepted (i.e. non clinical management was primary treatment technique for good control of diabetes-hypertension).