ASSESSMENT OF THE DISTRIBUTION OF RISK FACTORS FOR CHRONIC COMPLICATIONS OF DIABETES AMONG PATIENTS ATTENDING JIMMA HOSPITAL DIABETIC CLINIC

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Tsehayneh Kelemu
Amare Mengistu
Yoseph Mamo

Abstract

Tsehayneh Kelemu' (MSc), Amare Mengistu? (MD, MSc), Yoseph Mamo (MD) ABSTRACT BACKGROUND: Diabetes mellitus is the commonest of all metabolic diseases all over the world including developing countries. In Ethiopia it is being recognized as one of important health problems. Hospital-based studies from Addis Ababa, Gondar and Dire Dawa have reported prevalence rates up to 4.3% which is the same as reports from other African countries. The study conducted at Gondar College of Medical Sciences indicated 32% deaths of Type 1 diabetic patients under follow up due to different causes one of which was renal complication. Studies show that diabetes is associated with chronic complications like neuropathy, nephropathy, retinopathy and cardiovascular diseases. The association of diabetes with other risk factors like cigarette smoking, hypertension, hypercholesterolemia and obesity increases the chance of developing diabetic complications and consequent mortality. The aim of the study was to assess the prevalence of the risk factors for chronic complications of diabetes among diabetic patients attending Jimma Hospital diabetic clinic METHODS: At cross-sectional study of 328 diabetic patients attending at Jimma Hospital Diabetic Clinical was conducted from October 2002-September 2003. Demographic data and clinical data was collected by direct patient interview. Fasting blood serum glucose and total cholesterol levels were determined by enzymatic methods. The data was analyzed using SPSS 11.0 for windows. RESULTS. Among the 500 registered diabetic patient, 328 participated in the study. mean age was 45 +16. Farmers accounting for 27.4% were the single most affected egory but 44.5% were distributed over a variety of miscellaneous occupations. The of patients were from Jimma town while 37.5% were from the rural areas around ma and the remaining coming from other zones and regions of the country. The rtion of Type 1 and Type 2 patients was 48.8% and 49.1% respectively. The mean blood pressure, diastolic blood pressure, body mass index, fasting blood glucose, olesterol were 132+23.6, 83+15.9. 22.5+4.8, 228.2+114.8, 176.4+56.6 respectively. cholesterol level was elevated in 27.7%. Among all patients, 54.9% had poorly Med blood glucose of 200mg/dl, 30.2% are hypertensive, 27.1% are either obese or overweight. The rate of smoking among all diabetics is 2.4%. The rate of hypertension, obesity and elevated total cholesterol in Typel was 32.5, 11.3, 20.6% respectively as compared to 41.6, 44.1, 35.4 % respectively in Type2 patients CONCLUSION -Hyperglycemia, hypertension, obesity and hypercholesterolemia are common risk factors for chronic complications in our patients while smoking does not appear to be as common as in other reports. The prevalence of hypertension, obesity and hypercholesterolemia was higher in Type2 compared to Typel.


Departem tment of Biochemistry, Faculty of Medical sciences, Jimma University Department of Pharmacology, Jimma University, P.O. Box 378, Jimma, Jimma University, P.O, Box 378, Jimma Department of Internal Medicine, Jimma University, P.O. Box 378, Jimma

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Original Article
Author Biographies

Tsehayneh Kelemu, Jimma University

Departem tment of Biochemistry, Faculty of Medical sciences, Jimma University

Amare Mengistu, Jimma University

Jimma University Department of Pharmacology, Jimma University,

Yoseph Mamo, Jimma University

Jimma Department of Internal Medicine, Jimma University, P.O. Box 378, Jimma

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