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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 Interventions to improve glycemic control reduce the progression of diabetic retinopathy.1 Additionally, pharmacologic reduction of blood pressure (BP) in patients with diabetes mellitus and poorly controlled hypertension reduces the risk of worsening diabetic retinopathy.2 Despite pharmacologic improvements, hypertension remains poorly controlled in approximately half of Americans with it.3 The Hypertension Intervention Nurse Telemedicine Study (HINTS) investigated a telemedicine-mediated medication management and behavioral intervention for hypertension. Participants in HINTS (including nondiabetic individuals) with poor BP control who received 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.4 The purpose of the current analysis was to determine whether the interventions influenced the progression of diabetic retinopathy in participants with diabetes.