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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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2018/4504287 |
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| author | Maulee Hiromi Arambewela Noel P. Somasundaram Hettiarachchige Buddhi Pradeep Ranjan Jayasekara Mahesh P. Kumbukage Pulukkutti Mudiyanselage Sarath Jayasena Chandrasekara Mudalige Priyanka Hemanthi Chandrasekara Kurukulasuriya Ravindra Alexis Sudath Fernando Divadalage Priyantha Kusumsiri |
| author_facet | Maulee Hiromi Arambewela Noel P. Somasundaram Hettiarachchige Buddhi Pradeep Ranjan Jayasekara Mahesh P. Kumbukage Pulukkutti Mudiyanselage Sarath Jayasena Chandrasekara Mudalige Priyanka Hemanthi Chandrasekara Kurukulasuriya Ravindra Alexis Sudath Fernando Divadalage Priyantha Kusumsiri |
| author_sort | Maulee Hiromi Arambewela |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2ebd9805841246a1b91fa00180c3b6e3 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-2ebd9805841246a1b91fa00180c3b6e32025-02-03T01:03:24ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/45042874504287Prevalence 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 LankaMaulee Hiromi Arambewela0Noel P. Somasundaram1Hettiarachchige Buddhi Pradeep Ranjan Jayasekara2Mahesh P. Kumbukage3Pulukkutti Mudiyanselage Sarath Jayasena4Chandrasekara Mudalige Priyanka Hemanthi Chandrasekara5Kurukulasuriya Ravindra Alexis Sudath Fernando6Divadalage Priyantha Kusumsiri7Department of Diabetes and Endocrinology, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Diabetes and Endocrinology, National Hospital of Sri Lanka, Colombo, Sri LankaMinistry of Health, Colombo, Sri LankaMinistry of Health, Colombo, Sri LankaDepartment of Diabetes and Endocrinology, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Diabetes and Endocrinology, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Diabetes and Endocrinology, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Diabetes and Endocrinology, National Hospital of Sri Lanka, Colombo, Sri LankaDiabetes 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.http://dx.doi.org/10.1155/2018/4504287 |
| spellingShingle | Maulee Hiromi Arambewela Noel P. Somasundaram Hettiarachchige Buddhi Pradeep Ranjan Jayasekara Mahesh P. Kumbukage Pulukkutti Mudiyanselage Sarath Jayasena Chandrasekara Mudalige Priyanka Hemanthi Chandrasekara Kurukulasuriya Ravindra Alexis Sudath Fernando Divadalage Priyantha Kusumsiri 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 Journal of Diabetes Research |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | http://dx.doi.org/10.1155/2018/4504287 |
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