Mixed
Intensive lifestyle intervention (ILI) may be more effective for blood pressure control in individuals with higher BMI (>30 kg/m2), while frequent goal-based pharmacological monitoring may be more effective for those with lower BMI.
For patients with type 2 diabetes and high blood pressure, BMI may influence which treatment works best. Those with a higher BMI (over 30) might benefit more from intensive lifestyle changes, while those with a lower BMI might respond better to frequent monitoring and medication. Discuss your BMI and treatment options with your doctor.
The intensive behavioral-based intervention may have been more effective among individuals with body mass index >30 kg/m2, while frequent goal-based monitoring with medication management may be more effective among individuals with lower body mass index (interaction P = 0.047).
Why this rating
Based on pooled analysis of two major clinical trials with statistical interaction testing.
Source
Systolic Blood Pressure Control Among Individuals With Type 2 Diabetes: A Comparative Effectiveness Analysis of Three Interventions
Mark A. Espeland et al. · American Journal of Hypertension · 2015
DOI 10.1093/ajh/hpu292
Related findings · Mixed
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