Short-term Effects of Perindopril-amlodipine Versus Perindopril-indapamide in Type 2 Diabetes

This was a double-blinded randomized controlled trial conducted at the National Obesity Center and the cardiology unit of the Yaoundé Central Hospital in Cameroon from October 2016 to May 2017. Eligible patients were type 2 diabetes patients, newly diagnosed for hypertension (grade I or II) with confirmation on ambulatory BP monitoring (ABPM). Patients were either on lifestyle modification alone or on a stable anti-diabetic treatment for the past three months, aged 25-65 years naïve to any anti-hypertensive treatment, who provided their written informed consent. Participants were assigned to receive as anti-hypertensive treatment perindopril-amlodipine once daily or perindopril-indapamide at the same frequency. The two groups were followed up and monitored for sixth weeks and patients did not take any additional treatment with BP modifying properties.

The primary outcome was the relative change in circadian blood pressure profile between the two groups after six weeks of treatment

Inclusion criteria

• adult diabetes patients aged between 25-65 years,
• with grade I or grade II (WHO classification) hypertension on the clinical measure, confirmed by ABPM
• naïve to any anti-hypertensive treatment
• written informed consent.

Exclusion criteria

• Patients with grade III hypertension (WHO classification) were classified as hypertensive emergency,
• estimated creatinine clearance ˂30ml/min/1.73m2 (using Modified Diet in Renal Diseases formula)
• alanine transaminase (ALT)≥ 3 normal
• any contraindication to study drugs (hypersensitivity)
• pregnant or breastfeeding women