Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh

Sheikh Mohammed Shariful Islam; Dewan S. Alam; Mohammed Wahiduzzaman; Louis Niessen; Guenter Froeschl; Uta Ferrari; Jochen Seissler; H. M.A. Rouf; Andreas Lechner

doi:10.1016/j.dsx.2014.09.014

Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh

Sheikh Mohammed Shariful Islam, Dewan S. Alam, Mohammed Wahiduzzaman, Louis Niessen, Guenter Froeschl, Uta Ferrari, Jochen Seissler, H. M.A. Rouf, Andreas Lechner

Research output: Contribution to journal › Article › peer-review

42 Citations (Scopus)

Abstract

Aims

To investigate the clinical features of patients with type 2 diabetes on oral medication and determine the complications and risk factors in these patients.

Methods

A cross-sectional was conducted among 515 patients with type 2 diabetes at the outpatient clinics of Bangladesh Institute of Health Science (BIHS) hospital from September to December 2013. We collected data on socio-economic characteristics, clinical status, risk factors, complications, anthropometric measurements and blood tests. Univariate and multivariate logistic regression was performed to identify risk factors associated with diabetes complications.

Results

The mean(±SD) age of the participants was 50.0(±10.1) years and 15.3% were less than 40 years. The mean HbA1c was 8.3(±2.1). Only 28.7% of the participants achieved targets for HbA1c. The overall prevalence of hypertension, obesity and dyslipidemia was 57.5%, 62.6% and 72.7%, respectively. Eye problems were the most common complication (68.9%) followed by chronic kidney diseases (21.3%) and cardiovascular diseases (11.8%). There were significant associations between the complications and age, duration of diabetes and duration of hypertension. In the multivariate analysis adjusting for other confounding variables, only systolic blood pressure was found to be significantly associated with complications [OR 0.809, 95% CI 0.666–0.981 (p-value 0.031)].

Conclusion

Results of the study confirm that even under best clinical settings a great majority Bangladeshi adults with type 2 diabetes have uncontrolled diabetes and a high prevalence of risk factors that might contribute to early development of complications. Early screening of high risk groups and proper management of diabetes is recommended to avoid early complications.

Original language	English
Pages (from-to)	7-13
Number of pages	7
Journal	Diabetes and Metabolic Syndrome: Clinical Research and Reviews
Volume	9
Issue number	1
DOIs	https://doi.org/10.1016/j.dsx.2014.09.014
Publication status	Published - 1 Jan 2015

Keywords

Clinical status
Complications
Type 2 diabetes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.dsx.2014.09.014

Cite this

Islam, S. M. S., Alam, D. S., Wahiduzzaman, M., Niessen, L., Froeschl, G., Ferrari, U., Seissler, J., Rouf, H. M. A., & Lechner, A. (2015). Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 9(1), 7-13. https://doi.org/10.1016/j.dsx.2014.09.014

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title = "Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh",

abstract = "AimsTo investigate the clinical features of patients with type 2 diabetes on oral medication and determine the complications and risk factors in these patients.MethodsA cross-sectional was conducted among 515 patients with type 2 diabetes at the outpatient clinics of Bangladesh Institute of Health Science (BIHS) hospital from September to December 2013. We collected data on socio-economic characteristics, clinical status, risk factors, complications, anthropometric measurements and blood tests. Univariate and multivariate logistic regression was performed to identify risk factors associated with diabetes complications.ResultsThe mean(±SD) age of the participants was 50.0(±10.1) years and 15.3\% were less than 40 years. The mean HbA1c was 8.3(±2.1). Only 28.7\% of the participants achieved targets for HbA1c. The overall prevalence of hypertension, obesity and dyslipidemia was 57.5\%, 62.6\% and 72.7\%, respectively. Eye problems were the most common complication (68.9\%) followed by chronic kidney diseases (21.3\%) and cardiovascular diseases (11.8\%). There were significant associations between the complications and age, duration of diabetes and duration of hypertension. In the multivariate analysis adjusting for other confounding variables, only systolic blood pressure was found to be significantly associated with complications [OR 0.809, 95\% CI 0.666–0.981 (p-value 0.031)].ConclusionResults of the study confirm that even under best clinical settings a great majority Bangladeshi adults with type 2 diabetes have uncontrolled diabetes and a high prevalence of risk factors that might contribute to early development of complications. Early screening of high risk groups and proper management of diabetes is recommended to avoid early complications.",

keywords = "Clinical status, Complications, Type 2 diabetes",

author = "Islam, \{Sheikh Mohammed Shariful\} and Alam, \{Dewan S.\} and Mohammed Wahiduzzaman and Louis Niessen and Guenter Froeschl and Uta Ferrari and Jochen Seissler and Rouf, \{H. M.A.\} and Andreas Lechner",

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language = "English",

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Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh. / Islam, Sheikh Mohammed Shariful; Alam, Dewan S.; Wahiduzzaman, Mohammed et al.
In: Diabetes and Metabolic Syndrome: Clinical Research and Reviews, Vol. 9, No. 1, 01.01.2015, p. 7-13.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh

AU - Islam, Sheikh Mohammed Shariful

AU - Alam, Dewan S.

AU - Wahiduzzaman, Mohammed

AU - Niessen, Louis

AU - Froeschl, Guenter

AU - Ferrari, Uta

AU - Seissler, Jochen

AU - Rouf, H. M.A.

AU - Lechner, Andreas

PY - 2015/1/1

Y1 - 2015/1/1

N2 - AimsTo investigate the clinical features of patients with type 2 diabetes on oral medication and determine the complications and risk factors in these patients.MethodsA cross-sectional was conducted among 515 patients with type 2 diabetes at the outpatient clinics of Bangladesh Institute of Health Science (BIHS) hospital from September to December 2013. We collected data on socio-economic characteristics, clinical status, risk factors, complications, anthropometric measurements and blood tests. Univariate and multivariate logistic regression was performed to identify risk factors associated with diabetes complications.ResultsThe mean(±SD) age of the participants was 50.0(±10.1) years and 15.3% were less than 40 years. The mean HbA1c was 8.3(±2.1). Only 28.7% of the participants achieved targets for HbA1c. The overall prevalence of hypertension, obesity and dyslipidemia was 57.5%, 62.6% and 72.7%, respectively. Eye problems were the most common complication (68.9%) followed by chronic kidney diseases (21.3%) and cardiovascular diseases (11.8%). There were significant associations between the complications and age, duration of diabetes and duration of hypertension. In the multivariate analysis adjusting for other confounding variables, only systolic blood pressure was found to be significantly associated with complications [OR 0.809, 95% CI 0.666–0.981 (p-value 0.031)].ConclusionResults of the study confirm that even under best clinical settings a great majority Bangladeshi adults with type 2 diabetes have uncontrolled diabetes and a high prevalence of risk factors that might contribute to early development of complications. Early screening of high risk groups and proper management of diabetes is recommended to avoid early complications.

AB - AimsTo investigate the clinical features of patients with type 2 diabetes on oral medication and determine the complications and risk factors in these patients.MethodsA cross-sectional was conducted among 515 patients with type 2 diabetes at the outpatient clinics of Bangladesh Institute of Health Science (BIHS) hospital from September to December 2013. We collected data on socio-economic characteristics, clinical status, risk factors, complications, anthropometric measurements and blood tests. Univariate and multivariate logistic regression was performed to identify risk factors associated with diabetes complications.ResultsThe mean(±SD) age of the participants was 50.0(±10.1) years and 15.3% were less than 40 years. The mean HbA1c was 8.3(±2.1). Only 28.7% of the participants achieved targets for HbA1c. The overall prevalence of hypertension, obesity and dyslipidemia was 57.5%, 62.6% and 72.7%, respectively. Eye problems were the most common complication (68.9%) followed by chronic kidney diseases (21.3%) and cardiovascular diseases (11.8%). There were significant associations between the complications and age, duration of diabetes and duration of hypertension. In the multivariate analysis adjusting for other confounding variables, only systolic blood pressure was found to be significantly associated with complications [OR 0.809, 95% CI 0.666–0.981 (p-value 0.031)].ConclusionResults of the study confirm that even under best clinical settings a great majority Bangladeshi adults with type 2 diabetes have uncontrolled diabetes and a high prevalence of risk factors that might contribute to early development of complications. Early screening of high risk groups and proper management of diabetes is recommended to avoid early complications.

KW - Clinical status

KW - Complications

KW - Type 2 diabetes

U2 - 10.1016/j.dsx.2014.09.014

DO - 10.1016/j.dsx.2014.09.014

M3 - Article

SN - 1871-4021

VL - 9

SP - 7

EP - 13

JO - Diabetes and Metabolic Syndrome: Clinical Research and Reviews

JF - Diabetes and Metabolic Syndrome: Clinical Research and Reviews

IS - 1

ER -

Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh

Abstract

Keywords

UN SDGs

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