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Progression of Diabetic Retinopathy in the Hypertension Intervention Nurse Telemedicine Study

Progression of Diabetic Retinopathy in the Hypertension Intervention Nurse Telemedicine Study Letters worsening diabetic retinopathy. Despite pharmacologic im- Figure. Intraocular Pressure Before, During, and After Glucosamine provements, hypertension remains poorly controlled in ap- Supplementation proximately half of Americans with it. The Hypertension In- OS tervention Nurse Telemedicine Study (HINTS) investigated a OD telemedicine-mediated medication management and behav- ioral intervention for hypertension. Participants in HINTS (in- cluding nondiabetic individuals) with poor BP control who re- ceived combined medication and behavioral management demonstrated mean decreases in systolic BP of 15 mm Hg and 8 mm Hg at 12 and 18 months, respectively. The purpose of the current analysis was to determine whether the interven- tions influenced the progression of diabetic retinopathy in par- ticipants with diabetes. V GI D/C Methods | Eligibility criteria for HINTS included veterans hav- ing hypertension with inadequate BP control (average BP in past 12 months >140/80 mm Hg). Patients were excluded for hemo- dialysis or a creatinine level greater than 2.5 mg/dL (to convert to micromoles per liter, multiply by 88.4). All participants re- ceived home BP monitors. Participants were randomized to the following: (1) usual care; (2) nurse-administered behavioral in- tervention; (3) nurse-administered medication management; or (4) a combination of the 2 interventions (Table). In institu- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Progression of Diabetic Retinopathy in the Hypertension Intervention Nurse Telemedicine Study

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2013.81
pmid
23702951
Publisher site
See Article on Publisher Site

Abstract

Letters worsening diabetic retinopathy. Despite pharmacologic im- Figure. Intraocular Pressure Before, During, and After Glucosamine provements, hypertension remains poorly controlled in ap- Supplementation proximately half of Americans with it. The Hypertension In- OS tervention Nurse Telemedicine Study (HINTS) investigated a OD telemedicine-mediated medication management and behav- ioral intervention for hypertension. Participants in HINTS (in- cluding nondiabetic individuals) with poor BP control who re- ceived combined medication and behavioral management demonstrated mean decreases in systolic BP of 15 mm Hg and 8 mm Hg at 12 and 18 months, respectively. The purpose of the current analysis was to determine whether the interven- tions influenced the progression of diabetic retinopathy in par- ticipants with diabetes. V GI D/C Methods | Eligibility criteria for HINTS included veterans hav- ing hypertension with inadequate BP control (average BP in past 12 months >140/80 mm Hg). Patients were excluded for hemo- dialysis or a creatinine level greater than 2.5 mg/dL (to convert to micromoles per liter, multiply by 88.4). All participants re- ceived home BP monitors. Participants were randomized to the following: (1) usual care; (2) nurse-administered behavioral in- tervention; (3) nurse-administered medication management; or (4) a combination of the 2 interventions (Table). In institu-

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Jul 1, 2013

References

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