Author + information
- Bimal R. Shah,
- Tong Xu,
- Jennifer B. Bollyky,
- Wei Lu and
- Stefanie Painter
Approximately 1 in 3 U.S. adults suffer from hypertension; however, only 54% of these 75 million Americans have control of their blood pressure (BP). BP remote self-monitoring has shown to significantly reduce BP compared to usual care.
Members with diabetes and self-reported hypertension from six self-insured employer clients (n=700) were offered a bluetooth-connected BP monitoring device, education about hypertension management and access to health coaches.
276 members enrolled and provided baseline BP measurements (42%). At baseline, 63% (n=173) had uncontrolled hypertension (BP >130/80). Among those having a BP >140/90 (n=37), mean [SD] age was 53.3 [7.1] years, 43% female, mean BP readings per week was 4 [3.5], mean BP at baseline was 151.5 [18.2] / 90.6 [12.9] mmHg. After 6 weeks of home BP monitoring on the program, BP decreased by 11.2 [15.6] / 5.18 [10.1] mmHg (p=0.004). During the 6 week intervention period, 33 prescriptions were refilled and 13 new medications were prescribed for these participants.
Remote monitoring of BP along with education about hypertension and access to health coaches in a diabetes population with uncontrolled hypertension can improve BP control within six weeks.
Poster Hall, Hall F
Sunday, March 17, 2019, 3:45 p.m.-4:30 p.m.
Session Title: Prevention: Hypertension 4
Abstract Category: 33. Prevention: Hypertension
Presentation Number: 1277-444
- 2019 American College of Cardiology Foundation