The prevalence of diabetes and hypertension is considerable, highlighting the need to address the limited available information concerning the burden of undetected hypertension and its associated factors among individuals with diabetes in India. This article is about a cross-sectional study, enrolling 12,284 adults aged ≥30 years from rural and urban areas in North and South India, using a multistage cluster random sampling technique. Trained interviewers administered a questionnaire to collect data on socio-demographics and lifestyle characteristics, while phlebotomists collected venous blood samples. Blood pressure measurements were obtained following standard protocols. Diabetes was defined as having FPG ≥ 126 mg/dl or HbA1C ≥ 6.5% or self-reported physician diagnosis or treatment, while known diabetes indicated self-reported physician diagnosis or treatment. Hypertension was defined as blood pressure ≥140/90 mmHg or self-reported diagnosis/treatment by a physician. Undetected hypertension refers to elevated blood pressure (≥140/90 mmHg) without self-reported medical diagnosis or treatment.

The study revealed that the age-adjusted prevalence of diabetes was 17.5% (16.9-18.2), known diabetes was 10.2% (9.7-10.7), and hypertension among those with diabetes was 47.3% (45.0-49.6). Age-adjusted prevalence of undetected hypertension  among known diabetics was 27.0% (22.0-31.9). Urban areas had higher undetected hypertension rates [29.4% (23.2-35.6)] compared to rural areas [21.5% (13.2-29.7)]. Multinomial logistic regression identified older age, dyslipidemia, and chronic kidney disease with adjusted Relative Risk Ratios 3.4(1.7-6.9), 2.2. (1.2-4.1) and 3.3(1.2-9.2), respectively, as positive associations with undetected hypertension among known diabetes.

Therefore, Health system interventions should be implemented to increase the detection of hypertension among individuals with diabetes.

1235-P. American Diabetes Association (ADA) 83rd Scientific Sessions, 23rd-26th June 2023, San Diego, CA