Frequency and Risk Factors of Diabetic Complications among Selected Group of Diabetic Patients: Real-life Scenario from a Developing Country, Bangladesh

Haque, Hasna Fahmima; Afroz, Farhana; Afroze, Samira Rahat; Mitra, Palash; Rahim, Muhammad Abdur; Ahmed, Akm Shaheen; Musa, Akm

doi:10.3329/birdem.v7i2.32453

Cited by 5 publications

(9 citation statements)

References 10 publications

(11 reference statements)

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“…In this study the magnitude of diabetes nephropathy was 19.17%(95%CI: 16.90,21.44) this figure is in line with the study conducted in Ethiopia [ 15 ]. Unlike our study, Sri Lanka (51%), Nepal (25%), Bangladesh (43%), India (41.1%), Egypt (67%) and Sudan (39%) Studies have found higher percentages of participants with nephropathy [ 32 , 51 , 60 , 62 , 69 , 70 ]. The reason for the lower finding of our study might be ethnicity, racial, and socio-demographic characteristics difference, which play a major role in the development of diabetic nephropathy.…”

Section: Discussioncontrasting

confidence: 91%

“…The reason for the high prevalence in our study as compared to studies conducted in Palestine, Ethiopia and Saudi Arabia might be because of differences in the male-to-female ratio, time at which the study was conducted and study area. The result of this study is lower than studies conducted in Bangladesh (82%), Iraq (38%), Libya (33%), West Ethiopia (42%) and Jimma, Ethiopia (42%) [ 15 , 47 , 55 – 57 ]. The variation might have occurred because in this study only participants who became hypertensive after the occurrence of diabetes were considered, whereas the other studies may have included all participants who developed hypertension before and after the diagnosis of diabetes.…”

Section: Discussioncontrasting

confidence: 82%

“…Coronary artery disease (CAD)occurred among 3.28% (95% CI 2.25, 4.30) participants in this study, which is lower than studies done in Sri Lanka (11%), Saudi Arabia (23%), Bangladesh (26%), India (8%), Nepal (23%), and Iraq (15%) [ 32 , 60 , 62 – 64 ]. The reasons for the lower result of this study compared to the other studies are our study participants might have had a late diagnosis of diabetes, late initiation of treatment, or lifestyle modification, and a lack of access to advanced diagnostic studies like stress tests, echocardiography and nuclear perfusion imaging test.…”

Section: Discussioncontrasting

confidence: 73%

“…However, it is lower than the result of Sri Lanka (63%), Southwest Ethiopia (15%), Nepal (15%), Bangladesh (28%), India (19%), Tanzania (29%), and Egypt (22%) [ 32 , 49 , 51 , 60 , 62 , 68 , 69 ]. The probable reason for the lower figure in our study could be the lower rate of progression and the low onset of the disease, which discourage patients from seeking treatment early.…”

Section: Discussionmentioning

confidence: 72%

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The magnitude of chronic diabetes complications and its associated factors among diabetic patients attending the general hospitals in Tigray region, Northern Ethiopia

Berhe,

Mselle,

Gebru

2023

PLoS ONE

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Background Diabetes is a severe challenge to global public health since it is a leading cause of morbidity, mortality, and rising healthcare costs. 3.0 million Ethiopians, or 4.7% of the population, had diabetes in 2021. Studies on the chronic complications of diabetes in Ethiopia have not been conducted in lower-level healthcare facilities, so the findings from tertiary hospitals do not accurately reflect the issues with chronic diabetes in general hospitals. In addition, there is a lack of information and little research on the complications of chronic diabetes in Ethiopia. The objective of this study was to assess the degree of chronic diabetes complications and associated factors among diabetic patients presenting to general hospitals in the Tigray area in northern Ethiopia. Methods As part of a multi-centre cross-sectional study, 1,158 type 2 diabetes (T2D) patients from 10 general hospitals in the Tigray region were randomly chosen. An interviewer-administered questionnaire, a record review, and an SPSS version 20 analysis were used to collect the data. All continuous data were presented as mean standard deviation (SD), while categorical data were identified by frequencies. Using a multivariable logistic regression model, the factors associated with chronic diabetes complications among T2D diabetic patients were found, and linked factors were declared at p 0.05. Results Fifty-four of people with diabetes have chronic problems. Hypertension (27%) eye illness, renal disease (19.1%), and hypertension (27%) eye disease were the most common long-term effects of diabetes. Patients with chronic diabetes complications were more likely to be older than 60, taking insulin and an OHGA (Oral Hyperglycemic Agent) (AOR = 3.00; 95% CI 1.73, 5.26), having diabetes for more than five years, taking more than four tablets per day (AOR = 1.63; 95% CI 1.23,2.15), and having high systolic and diastolic blood pressure. Patients with government employment (AOR = 0.48; 95% CI 0.26, 0.90), antiplatelet drug use (AOR = 0.29; 95% CI 0.16, 0.52), and medication for treating dyslipidemia (AOR = 0.54; 95% CI 0.35, 0.84), all had a decreased chance of developing a chronic diabetes problem. Conclusion At least one chronic diabetic complication was present in more than half of the patients in this study. Chronic diabetes problems were related to patients’ characteristics like age, occupation, diabetes treatment plan, anti-platelet, anti-dyslipidemia medicine, duration of diabetes, high Systolic BP, high Diastolic BP, and pill burden. To avoid complications from occurring, diabetes care professionals and stakeholders must collaborate to establish appropriate methods, especially for individuals who are more likely to experience diabetic complications.

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Section: Discussioncontrasting

confidence: 91%

Section: Discussioncontrasting

confidence: 82%

Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 72%

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The magnitude of chronic diabetes complications and its associated factors among diabetic patients attending the general hospitals in Tigray region, Northern Ethiopia

Berhe,

Mselle,

Gebru

2023

PLoS ONE

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“…Diabetes mellitus (DM) is now becomes a global health issue to health care professionals 1. According to International Diabetes Federation (IDF) 451 million (age 18-99 years) people was reported with diabetes worldwide 415 million people in 2017, which expected to increase to 693 million) in 2045 2.…”

Section: Introductionmentioning

confidence: 99%

Frequency of urinary tract infection and antibiotic sensitivity of uropathogens in patients with diabetes

Zubair¹,

Shah²,

Fawwad

et al. 2019

Pak J Med Sci

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Objective:To determine the frequency of urinary tract infections and antibiotic sensitivity among patients with diabetes.Methods:This observational study was carried out in Microbiology Department of Baqai Institute of Diabetology and Endocrinology (BIDE), Baqai Medical University from April 2015 to June 2016. All patients with diabetes having symptoms of UTI attending out patients department of BIDE were analyzed. All samples received in the laboratory were processed according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Antimicrobial susceptibility pattern was determined by disc diffusion method.Results:A total number of 199 urine specimens, frequency of UTI were 24 (12.06%) in male and 175 (87.94%) in female. UTIs were highly found in (age group 51-60) 70 (35.18%). Escherichia coli was the most frequent pathogen (71%), followed by Klebsiellapneumoniae (7.48%), Proteus mirabilis (1.87%), Staphylococcus aureus (9.35%), Candida (5.61%) and Candidaalbicans were (2.80%). Majority of gram negative uropathogens were shown high sensitivity towards Imipenem and Piperacillin / Tazobactam followed by Nitrofurantion, Ceftriaxone, Levofloxacin, Ofloxacine, Ciprofloxacin, Norfloxacin, Cefixime, Nalidixic acid and Cephradine. Gram positive was most sensitive to Nitrofurantionand Vancomycin followed by Piperacillin / Tazobactam, Imipenem, Cephradine, Ceftriaxone, Norfloxacin and Cefixime.Conclusion:We observed the higher frequency of UTIs in female as compared to male participants due to poor hygiene. E.coli was the most frequent pathogen responsible for UTI in patients with diabetes, followed by Staphylococcus aureus.

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Prevalence of diabetic micro vascular complications at a tertiary care unit of Karachi, Pakistan

Abro

Zafar

Fawwad

et al. 2018

Int J Diabetes Dev Ctries

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Frequency and Risk Factors of Diabetic Complications among Selected Group of Diabetic Patients: Real-life Scenario from a Developing Country, Bangladesh

Cited by 5 publications

References 10 publications

The magnitude of chronic diabetes complications and its associated factors among diabetic patients attending the general hospitals in Tigray region, Northern Ethiopia

The magnitude of chronic diabetes complications and its associated factors among diabetic patients attending the general hospitals in Tigray region, Northern Ethiopia

Frequency of urinary tract infection and antibiotic sensitivity of uropathogens in patients with diabetes

Prevalence of diabetic micro vascular complications at a tertiary care unit of Karachi, Pakistan

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