DOI: 10.36347/sasjm.2015.v01i04.015

Pages: 200-204

Background: Diabetes mellitus is a major public health problem worldwide. Chronic hyperglycemia can lead to microvascular and macrovascular complications, resulting in increased morbidity and mortality. Identifying the prevalence and associated factors of these complications is essential for improving diabetes management and patient outcomes. Objective: To determine the prevalence of diabetic complications and identify factors associated with their occurrence among adult diabetic patients attending a tertiary care hospital. Methods: This hospital-based cross-sectional study was conducted among 220 adult diabetic patients attending a tertiary care private hospital in Dhaka, Bangladesh, from January to December 2015. Data were collected through face-to-face interviews and review of medical records using a pretested semi-structured questionnaire. Information regarding socio-demographic characteristics, duration of diabetes, glycemic control, treatment modalities, comorbidities, and diabetic complications was obtained. Data were analyzed using SPSS version 20.0. Associations between diabetic complications and selected variables were assessed using the Chi-square test, with p<0.05 considered statistically significant. Results: The mean age of the participants was 55.7±10.9 years, and 55.5% were female. Poor glycemic control (HbA1c ≥7%) was observed in 65.9% of patients, while 43.6% had diabetes for more than 10 years. Overall, 73.2% of participants had at least one diabetic complication. Peripheral neuropathy was the most common complication (40.0%), followed by diabetic retinopathy (32.7%) and diabetic nephropathy (26.8%). Coronary artery disease was present in 19.1% of patients, while stroke and peripheral arterial disease were observed in 8.2% and 5.5%, respectively. Diabetic complications were significantly associated with age >50 years (p=0.006), duration of diabetes >10 years (p<0.001), and poor glycemic control (p<0.001). Conclusion: Diabetic complications were hi