Abstract

Background and Aims: The time of diagnosis, clinical spectrum and treatment pattern of diabetes mellitus in developing countries might be different from the developed countries. We conducted this study to determine the clinical spectrum, complications and treatment pattern of Nepalese diabetes patients.

Methods: This was a hospital-based cross-sectional study among patients with diabetes mellitus aged 30 years and above conducted for a period of one year at B.P. Koirala Institute of Health Sciences, Dharan, Nepal.

Results: Of 130 study population, the mean age of presentation was 53 years. Majority of them had sedentary life style (80%), smoker (57%), alcohol consumer (47%), and obese (34%). The mean fasting glucose, postprandial glucose and HbA1C level of the study population were 156 mg/dl (SD-5), 245 mg/dl (SD-89), and 7.67 (SD-1.88) respectively. Retinopathy (8%), dermatological complication (7%) followed Neuropathy (4%) were the common complication among study population.

Conclusion: Majority of diabetes mellitus patient were smoker and unachieved glycemic control. Retinopathy was the commonest complication. Nepalese diabetes patient required counselling regarding life style medication, monitoring of the glycemic control and complications in timely manner.

Keywords: Clinical Profile; Complications; Diabetes Mellitus; Nepal; Retinopathy

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