Patients’ Awareness about the Complications of Diabetes Mellitus and its Co-relation with the Glycemic Status

  • Krishna Kumar Agrawaal Department of Internal Medicine, Universal College of Medical Sciences, Nepal.
Keywords: awareness of diabetic complications; HbA1c; patient awareness.

Abstract

Introduction: Diabetes is a major cause of morbidity and cardiovascular related mortality along with a major cause of preventable blindness and foot amputation. There are limited studies on diabetes awareness, attitude, and prevalence.

Methods: Thus, we designed a study to seek the patients awareness about the complications associated with diabetes. It was a prospective observational study which included 123 patients with Diabetes Mellitus.

Results: The mean age of population studied was 53 years mainly from the Rupandehi and Nawalparasi districts in Nepal attending a clinic. In the study Erectile Dysfunction was statistically significant with postprandial hyperglycemia. Lack of Awareness about a calorie specific diet plan was significantly associated with increased blood sugar fasting level >110mg/dl. A majority of patients (58%) had awareness regarding kidney damage and 51% had awareness that Diabetes causes delayed wound healing. Only 3% of the patients did a regular foot care and 9% knew what the target glycemic status is. About 36% know that there can be cardiac complications due to diabetes and 27% regarding eyes. Similarly 36% of the patients also knew that there is neuropathy due to diabetes and 18% were aware about CVA. About 54% of the patients had Fasting >110mg%.

Conclusions: The study showed that though the patients are on OADs but they lack awareness about the major complications related to diabetes mellitus.

Keywords: awareness of diabetic complications; HbA1c; patient awareness.

References

International Diabetes Federation. IDF diabetes Atlas. Sixth
Edition update.International Diabetes Federation 2014.
2. Nepal Diabetes Association[Internet].Kathmandu: Nepal
diabetes association; 2014.Available from: www.nepaldiabetesassociation/
reseach.php
3. Sharma SK, Ghimire G, Radhakrishnan J, Thapa L, Shrestha
NR et al.Prevalence of Hypertension, Obesity, Diabetes and
Metabolic Syndrome in Nepal. IJH 2011.
4. Agrawaal KK. Diabetes: Emerging Pandemic. JUCMS: 2014;
vol.2 (8):pg.01.
5. Singh A, Milton PE, Nanaiah A, Samuel P, Thomas N.
Awareness and attitude toward diabetes in the rural
population of Arunachal Pradesh, Northeast India. Indian J
Endocr Metab: 2012; 16, Suppl S1:836.
6. N. Murugesan et al. Awareness about diabetes and its
complications in the general and diabetic population in a city
in southern India. Diabetes Research and Clinical Practice:
2007) 433–437.
7. Chaudhary FMD and SMD. Awareness about diabetes
risk factors and complications in diabetic patients: A
cross-sectional study. NMJ 2010; 2(3):84-88
8. Maskey R, Shakya DR, Sharma SK, Karki P and Lavaju P.
Diabetes mellitus related complications in out- patient
clinic of tertiary care hospital. Journal of College of Medical
Sciences-Nepal, 2011, Vol-7, No-2, 9-16.
9. Hoque AM, Islam S, Khan AM. Knowledge of Diabetic
Complications in a diabetic Population. J MEDICINE 2009;
10(2): 90-93.
10. Mohan V, Sandeep R, Shah D and Varghese C. Epidemiology
of type 2 diabetes: Indian scenario. Indian J Med Res 125,
March 2007, pp 217-230
11. Kasinathan D, Rajagopalan NG, Marimuthu NP, Ramar M
et al. Awareness on Type II Diabetes and Its Complication
among Sivaganga District Population in Tamilnadu: A Cross
Section Survey. J Adv Sci Res, 2013, 4(1): 38-42
12. Mohan D, Raj D, Shanthirani CS, Datta Manjula, Unwin
NC, Kapur A et al. Awareness and Knowledge of Diabete in
Chennai- The Chennai Urban Rural Epidemilogy study
13. O suvillan EP, Bhargava A, O'Callaghan M, Buckley U,
De Faoite T, Moynihan K et al. Awareness of diabetes
complications in an Irish population. Ir J Med Sci. 2009
Dec;178(4):4016
14. Abdella SH and Mohammed AM. Awareness of diabetic
patients about their illness and associated complications in
Ethopia. Med-Science .2013; 2(2): 512-522.
15. Kaur S, Mandal L, Nair P, Kaur P, Pathak P and Bhansali A.
Awareness among patients with T2DM regarding the Disease
at a tertiary care referral center. Journal of Postgraduate
Medicine, Education and Research, July-September
2014;48(3):117-122.
16. Ahmad J. The diabetic foot. Diabetes Metab Syndr. 2015 Apr
27. pii: S18714021(00030-2).
17. Deepa M , Bhansali A , Anjana RM , Pradeepa R , Joshi
SR , Joshi P et al.Knowledge and awareness of diabetes
in urban and rural India: The Indian Council of Medical
Research India Diabetes Study (Phase I): Indian Council of
Medical Research India. Indian J Endocrinol Metab. 2014
May;18(3):379-85.
18. Misra A, Ramchandran A, Jayawardena R, Shrivastava U
and Snehalatha C. Diabetes in South Asians. Diabet Med.
2014 Oct;31 (10):1153-62.
19. Mumu JS, Salehz F, Ara F, Haque R and Ali L Awareness
regarding risk factors of type 2 diabetes among individuals
attending a tertiary-care hospital in Bangladesh: a
cross-sectional study. BMC Research Notes 2014, 7:599.
pg:1-9.
20. Tang YH, Pang MCS, Yeung SPG, Yeung TFV. Health
literacy, complication awareness, and diabetic control in
patients with type 2 diabetes mellitus. JAN.2007 Oct 5:1-10.
21. Aryal KK; Neupane S;Meheta S;Vaidya A; Singh S; Paulin F
et al. Non Communicable diseases risk factors: STEPS survey
Nepal 2013.Kathmandu: Nepal Health Research Council.
Published
2015-12-31
How to Cite
Kumar Agrawaal, K. (2015). Patients’ Awareness about the Complications of Diabetes Mellitus and its Co-relation with the Glycemic Status. Journal of Nepal Medical Association, 53(200), 284-287. https://doi.org/10.31729/jnma.2747
Section
Original Article