Prevalence, Spectrum and Determinants of Diabetes Mellitus Complications in Sagamu, South-West Nigeria

Prevalence, Spectrum and Determinants of Diabetes Mellitus Complications in Sagamu, South-West Nigeria

Author by Dr. Akintunde Akinpelu

Journal/Publisher: African Journal Of Health Sciences

Volume/Edition: 33

Language: English

Pages: 98 - 109

Abstract

BACKGROUND Diabetes Mellitus is a chronic metabolic disease associated with numerous complications. The prevalence of diabetes mellitus is increasing in our locality and constitutes a major public health problem. The objective of this study was to determine the prevalence and associated determinants of diabetes complications. MATERIALS AND METHODS The study was a cross-sectional study conducted among diabetes patients attending the endocrinology clinic in Olabisi Onabanjo University Teaching Hospital. A sample size of 253 participants was recruited using the systematic random sampling technique. A well-structured questionnaire was developed for this study and was administered by trained research assistants. Information obtained was entered into SPSS version 24 and analysed. RESULTS Out of 253 respondents, one hundred and ninety (75.1%) had at least one diabetes complication. Co-morbidities were recognized among 104 (64.8%). All participants had HbA1c above the normal reference value of 6.5. Fasting blood glucose was within diabetes range among 154 (60.9%) patients. Neuropathy was the commonest (90, 36.0%). Age at diagnosis, duration of disease and presence of comorbidities were significantly associated with diabetes complications (P <0>

CONCLUSIONS The prevalence of diabetes complication was high, the main complication was neuropathy. More than two-thirds had suboptimal glycaemic control. It is important to ensure appropriate measures to ensure tight glycaemic control to improve the quality of life.


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