scholarly journals Prevalence and associated factors of hospitalization for dysglycemia among elderly type 2 diabetes patients: A nationwide study

2019 ◽  
Vol 10 (3) ◽  
pp. 212-223 ◽  
Author(s):  
Wisit Kaewput ◽  
Charat Thongprayoon ◽  
Narittaya Varothai ◽  
Anupong Sirirungreung ◽  
Ram Rangsin ◽  
...  
Author(s):  
A Gomathi ◽  
S. Kamalam ◽  
Jeevaanand N

Background: Diabetes is traditionally known as a “silent disease,” exhibiting no symptoms until it progresses to severe target organ damage. Aims & Objective: The study was conducted to determine the knowledge of foot care ,knowledge regarding foot care practice and its associated factors among type 2 diabetes patients. Material and Methods: A Community based cross-sectional study was conducted at a primary health centre, Pondicherry, 107 subjects were selected by convenience sampling technique. Data was collected from December 2020 to March 2021, among type 2 diabetes who attended the diabetic clinic. A validated pretested questionnaire was used to assess the knowledge of foot care, knowledge regarding foot care practice and its associated factors among type 2 diabetes patients. Data was analysed using SPSS 21. Results: Among 107 diabetes patients 68(75.6%) of them had poor knowledge and only 2 (2.2%) of them had good practice. There was highly significant (p<0.001) relationship between knowledge of foot care and knowledge regarding foot care practice scores. There was highly significant association (p<0.05) between the knowledge of foot care with selected demographic variables of gender, occupation, alcohol consumption, regularity of treatment and source of information. Conclusions: It is a need of the hour to conduct health education programme to create awareness among rural people for better glycaemic control and prevention of ulcer foot in type 2 diabetes mellitus patients.


2017 ◽  
Vol 4 (5) ◽  
pp. 1-9 ◽  
Author(s):  
Sang Victor Kiplagat ◽  
Kaduka Lydia ◽  
Kamano Jemimah ◽  
Makworo Drusilla

2018 ◽  
Vol 12 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Wisit Kaewput ◽  
Charat Thongprayoon ◽  
Mathirut Mungthin ◽  
Sarawut Jindarat ◽  
Narittaya Varothai ◽  
...  

Author(s):  
Ahmed Chetoui ◽  
Kamal Kaoutar ◽  
Soufiane Elmoussaoui ◽  
Kaltoum Boutahar ◽  
Abdesslam El Kardoudi ◽  
...  

Abstract Background Diabetes remains poorly controlled in a high proportion of diabetes patients. This study examines the prevalence of poor glycaemic control and associated factors in type 2 diabetes patients in the Beni-Mellal Khenifra region in Morocco. Methods A cross-sectional survey was conducted in 2017 among 1456 diabetes patients attending primary health centres. Demographic and clinical data were collected through face-to-face interviews using structured and pre-tested questionnaires. Anthropometric measurements, including body weight, height and waist circumference were taken using standardized techniques and calibrated equipment. Glycaemic control was assessed in terms of the glycated haemoglobin (HbA1c) level and poor glycaemic control was defined as HbA1c ≥7% and a level &lt;7% reflects good glycaemic control. Results Of the total participants, 66.3% had poor glycaemic control. Bivariate analysis showed that sex (p=0.010), education level (p=0.013), body mass index (p=0.048), duration of diabetes (p&lt;0.0001) and type of therapeutic regimen (p&lt;0.0001) were significantly associated with HbA1c level. However, multiple logistic regression analyses revealed that only a longer duration of diabetes (OR 1.525 [95% confidence interval {CI} 1.183–1.967], p=0.001) and receiving insulin therapy alone (OR 1.589 [95% CI 1.157–2.183], p=0.004) or a combination of oral antidiabetics with insulin (OR 2.554 [95% CI 1.786–3.653], p&lt;0.001) were significantly associated with inadequate glycaemic control. Conclusions Despite the particularities of the region, the findings about glycaemic control and its cross-sectionally associated factors are in line with findings from other regions of Morocco. In this subgroup, the longer duration of diabetes and insulin treatment could constitute a cause leading to poor glycaemic control. However, inverse causality cannot be excluded.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Yonas Akalu ◽  
Ambaye Birhan

Background. Peripheral arterial disease (PAD), one of the major macrovascular complications of diabetes, is associated with cardiovascular mortality and a high rate of disability following the amputation of an extremity in diabetes patients. However, there is no data on the prevalence of PAD among type 2 diabetes patients in Ethiopia. Therefore, the current study is aimed at determining the prevalence and associated factors of PAD among type 2 diabetes patients at Debre Tabor General Hospital, Debre Tabor, Northwest Ethiopia. Methods. An institution-based cross-sectional study was conducted among type 2 diabetes mellitus patients from February 1 to August 30, 2019. A pretested interviewer-administered questionnaire was used to collect the data. The presence of stenosis and its grading were determined by color Doppler ultrasonography. Data were entered using EpiData-V.4.6 and analyzed by STATA-14. Bivariable and multivariable logistic regression was performed to identify associated factors of peripheral arterial disease. Adjusted odds ratio (AOR) and its confidence interval were estimated for potential predictors included in the final model. P≤0.05 was used to declare statistical significance. Results. The mean age of the study participants was 61.2±7.3 years. One hundred seventy-two (61.4%) patients were males. The prevalence of PAD in this study was 30.7% (95% CI (25.3-36.2%)). Of these, 37 (43%) were symptomatic. Age (AOR=1.09, 95% CI (1.03-1.16)), higher HbA1c (AOR=1.97, 95% CI (1.03-3.40)), being an ex-smoker (AOR=4.68, 95% CI (1.93-11.30)), and current cigarette smoking (AOR=5.84, 95% CI (1.79-19.04)) were significantly associated with PAD. Conclusion. The prevalence of peripheral arterial disease among type 2 diabetes patients was high. Increasing age, high HbA1c, and being cigarette smokers increase the likelihood of developing peripheral arterial disease. Clinicians should prevent PAD; screen T2DM patients who are aged, with high HbA1c, and cigarette smokers; and treat them timely.


2021 ◽  
Vol 21 (1) ◽  
pp. 23-31
Author(s):  
Ahmed Chetoui ◽  
Kamal Kaoutar ◽  
Keltoum Boutahar ◽  
Abdeslam El Kardoudi ◽  
Soufiane Elmoussaoui ◽  
...  

Background: Obesity constitutes a major risk factor for the development of diabetes, and has been linked with poor gly- caemic control among type 2 diabetic patients. Aims: This study examines the prevalence of overweight/obesity and associated factors in type 2 diabetic patients in the Beni-Mellal Khenifra region in Morocco. Methods: A questionnaire-based cross-sectional study was conducted in 2017 among 975 diabetes patients attending pri- mary health centres. Demographic and clinical data were collected through face-to-face interviews. Anthropometric meas- urements, including body weight, height and waist circumference, were taken using standardized techniques and calibrated equipment. Results: The prevalence of overweight was 40.4%, the general obesity was 28.8% and the abdominal obesity was 73.7%. Using multivariate analysis, we noted that the general obesity was associated with female sex (AOR= 3,004, 95% CI: 1.761- 5.104, P<0.001), increased age (AOR=2.192, 95% CI: 1.116-4.307, P<0.023) and good glycaemic control (AOR=1.594, 95% CI: 1.056-2.407, P=0.027), whereas abdominal obesity was associated wih female sex (AOR=2.654, 95% CI: 1.507-4.671, P<0.001) and insulin treatment (AOR=2.927, 95% CI: 1.031-8.757, P=0.048). Conclusion: Overweight, general obesity and abdominal obesity were high among participants, especially among women. Taken together, these findings urge the implementation of a roadmap for this diabetic subpopulation to have a new lifestyle. Keywords: Obesity; overweight; abdominal obesity; type 2 diabetes; Morocco.


2020 ◽  
Vol 11 ◽  
pp. 215013272095996
Author(s):  
Akila Govindarajan Venguidesvarane ◽  
Aliya Jasmine ◽  
Samya Varadarajan ◽  
Vanishree Shriraam ◽  
Anitha Rani Muthuthandavan ◽  
...  

Introduction: Vascular complications are the major cause of morbidity in patients with diabetes mellitus. Screening for these complications is crucial in early detection and tertiary prevention. Hence, this study aimed at finding the prevalence of micro and macrovascular complications and their associated factors in type 2 diabetes mellitus patients in a rural health center by using simple and easily available tools. Methodology: This hospital based cross sectional study was conducted in Rural Health and Training Centre (RHTC) of Sri Ramachandra medical college from Jan 2017 to Aug 2017. All type 2 diabetes patients registered at RHTC were included in the study. By the use of questionnaire, clinical examination and laboratory investigations, the prevalence of macro and microvascular complications and associated factors were ascertained. Multiple logistic regression was used to identify factors associated with vascular complications of diabetes. Results: The study included 390 type 2 diabetes patients. The overall prevalence of macrovascular and microvascular complications in our study population was 29.7% and 52.1%, respectively. Among the macrovascular complications, both coronary artery disease (CAD) and peripheral vascular disease (PVD) had a prevalence rate of 15.1%. Among the microvascular complications, peripheral neuropathy (44.9%) had the highest prevalence followed by nephropathy (12.1%) and diabetic foot (7.2%). Multiple logistic regression analyses showed high HbA1c level, lower education, high postprandial blood sugar, hypertension, abdominal obesity were significantly associated with increased risk of vascular complications of diabetes. Conclusion: This study demonstrated the increased prevalence of vascular complications in Type 2 diabetes patients in rural India. Regular screening to identify those patients at risk could prevent further progression of complications.


2021 ◽  
Vol 9 ◽  
pp. 205031212098738
Author(s):  
Assefa Tola ◽  
Lemma Demissie Regassa ◽  
Yohanes Ayele

Introduction: Diabetic foot disease is a growing major public health problem and the leading cause of prolonged hospital admission, health-related costs, and reduced quality of life for diabetes patients. This study aimed to determine the prevalence of diabetic foot ulcers (DFU) and its associated factors among type 2 diabetes patients in Harari Region, East Ethiopia. Methods: An institution-based retrospective study was conducted from 28 March to 30 April 2018, among type 2 diabetes patients diagnosed between 1 January 2013 and 31 December 2017, at three government hospitals of Harari Region. Data were collected using a standard checklist format. Data were entered into Epi Info Version 7 and analyzed using SPSS 24. Binary and multiple logistic regression models were used to determine the associated factors. Odds ratio with 95% confidence intervals was used to determine level of association. Result: A document of 502 type 2 diabetes patients was reviewed and included in the final analysis in this study. The prevalence of DFU among type 2 diabetes patients was 21.1%. Being currently married decreased the odds of DFU by 60% (adjusted odds ratio = 0.40; 95% confidence interval: 0.17–0.96). Factors associated with increased diabetes ulcers chance were physical inactivity 2.29 (adjusted odds ratio = 2.29; 95% confidence interval: 1.17–4.48), starting treatment with insulin 4.43 times (adjusted odds ratio = 4.43; 95% confidence interval: 1.84–10.67), obesity 27.76 (adjusted odds ratio = 27.76; 95% confidence interval: 13.96–55.23), delay to start follow-up 2.22 (adjusted odds ratio = 2.22; 95% confidence interval: 1.03–4.82), history of infection 3.50 (adjusted odds ratio= 3.50; 95% confidence interval: 1.83–6.69), and hypertension 3.99 (adjusted odds ratio = 3.99; 95% confidence interval: 2.08–7.65). Conclusion: The prevalence of DFU among type 2 diabetes is substantially high as more than one in five patients have this complication. Moreover, marital status, physical activity, baseline medication, obesity, delay for follow-up, infection history, and hypertension were significantly associated with the development of DFU.


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