Abstract
Background: The prevalence of diabetes is steadily increasing everywhere. This study aimed to assess diabetic complications and their risk factors, among type 2 diabetic patients toward reducing the disease burden.
Methodology: A cross-sectional hospital-based study was carried out among 469 patients with T2DM attending medical clinic at King Khalid University Hospital (KKUH) in Riyadh during the period of January to June 2019.
Results: Of 469 DM patients 62.7% females and 37.3% males, the mean age and disease duration were 58.3 ± 10.3 and 10.8 ± 7 years, respectively. Macrovascular complications included coronary arty disease(CAD), stroke, and peripheral vascular disease were found in 9.4%, 1.1%, and 4.7%, respectively; whereas for microvascular complications 31.1%, 69.2%, 45.2%, 2.6%, and 1.3% having diabetic retinopathy, neuropathy, nephropathy, diabetic foot, and lower extremity amputation (LEA), respectively. Among those subjects hypertension, dyslipidemia, overweight/obesity, central obesity, and smoking were found in 76.4%, 76.7%, 71.8%, 33.5% and 13%, respectively. Age, disease duration, and HBA1c were statistically significant risk factors for microvascular complications and diabetic foot while for macrovascular complications was only related to increased age. Occurrence of cardiovascular diseases (CVD), neuropathy, diabetic foot, and LEA was significantly higher among males than females.
Conclusion: This population was at high risk of CVD with high prevalence of hypertension, dyslipidemia, and obesity. Understanding the extent to which DM complications can be reduced from multiple risk factor control can be helpful in providing the evidence-based rationale for composite risk factor control efforts in DM management. In addition, routine screening for detection of new complications need to be emphasized in order to prevent morbidity and mortality.
Keywords: Diabetic Complications; Saudi Arabia; Risk Factors
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