Prevalence of Chronic Complications, Their Risk Factors, and the Cardiovascular Risk Factors among Patients with Type 2 Diabetes Attending the Diabetic Clinic at a Tertiary Care Hospital in Sri Lanka

Prevalence of Chronic Complications, Their Risk Factors, and the Cardiovascular Risk Factors among Patients with Type 2 Diabetes Attending the Diabetic Clinic at a Tertiary Care Hospital in Sri Lanka

Diabetes incurs heavy burden to patients and the healthcare system. Assessment of disease burden is important in taking necessary precautions and management decisions. We aimed to determine the prevalence of macro- and microvascular complications, their risk factors, and coronary artery disease (CAD...

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Bibliographic Details
Published in:Journal of diabetes research Vol. 2018; no. 2018; pp. 1 - 10
Main Authors: Kusumsiri, Divadalage Priyantha, Chandrasekara, Chandrasekara Mudalige Priyanka Hemanthi, Jayasena, Pulukkutti Mudiyanselage Sarath, Kumbukage, Mahesh, Jayasekara, Hettiarachchige Buddhi Pradeep Ranjan, Somasundaram, Noel, Arambewela, Maulee, Fernando, Kurukulasuriya Ravindra Alexis Sudath
Format: Journal Article
Language:English
Published: Cairo, Egypt Hindawi Publishing Corporation 01-01-2018
Hindawi
Hindawi Limited
Subjects:
Adult
Aged
Asian people
Cardiovascular disease
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - etiology
Diabetes
Diabetes Complications - epidemiology
Diabetes Mellitus, Type 2 - complications
Female
Foot diseases
Health risk assessment
Hospitals
Humans
Hyperglycemia
Male
Middle Aged
Minority & ethnic groups
Mortality
Patients
Peripheral neuropathy
Risk Factors
Sri Lanka - epidemiology
Stroke
Studies
Tertiary Care Centers
United Kingdom > UK
Sri Lanka
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Summary:Diabetes incurs heavy burden to patients and the healthcare system. Assessment of disease burden is important in taking necessary precautions and management decisions. We aimed to determine the prevalence of macro- and microvascular complications, their risk factors, and coronary artery disease (CAD) risk factors among patients with type 2 diabetes mellitus (T2DM). A descriptive cross-sectional single-centre study was carried out among 3000 patients with T2DM attending the diabetic clinic at the National Hospital of Sri Lanka from January to July 2016. The study population had 72.7% females and 27.3% males. Mean age and disease duration were 58.3 ± 10.3 and 10.8 ± 7 years, respectively. Prevalence of CAD, stroke, and peripheral vascular disease were 10.6%, 1.1%, and 4.7% while diabetic retinopathy, neuropathy, nephropathy, diabetic foot, and lower extremity amputation (LEA) were 26.1%, 62.6%, 50.8%, 2.6%, and 1.3%, respectively. Prevalence of overweight/obesity, hypertension, dyslipidemia, and smoking were 80%, 77.6%, 76.7%, and 11%, respectively. Increased age, disease duration, and HBA1c were risk factors for microvascular disease and diabetic foot while age was the only risk factor for macrovascular complications. Occurrence of CAD, peripheral neuropathy, diabetic foot, and LEA was significantly higher among males than when compared to females. This study highlights the major burden of chronic complications and high prevalence of CAD risk factors in this population.
Bibliography:ObjectType-Article-1
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Academic Editor: Érika Bevilaqua Rangel
ISSN:2314-6745
2314-6753
2314-6753
DOI:10.1155/2018/4504287