Risk Factors for Microvascular Complications of Diabetes in a High-Risk Middle East Population

Abstract

Aims Much of the diabetes burden is caused by its complications. This cross-sectional study aimed to determine the prevalence and risk factors for diabetic microvascular complications (retinopathy, nephropathy, and neuropathy) in a high-risk population. Methods We collected information via a structured questionnaire and directly from the patient's record on 1034 adult type 2 diabetic patients who were attending outpatient clinics in Qatar. Results The mean age of the patients was 55 ± 10 years, and the mean duration of diabetes was 12.4 ± 8.9 years. Forty-five percent had one or more microvascular complications. Shared risk factors for multiplicity and for individual complications included family history, severity and duration of diabetes, and hypertension, but some risk factors were specific for individual microvascular complications. Early age at onset of diabetes was strongly associated with multiplicity of complications (P = 0.0003). Conclusions About half the diabetics in this high-risk population had one or more microvascular complications. Several well-established risk factors were associated with multiplicity and individual microvascular complications, but each separate microvascular complication was linked to a somewhat different constellation of risk factors.

Prevalence of Diabetic Nephropathy among Type 2 Diabetes Mellitus, and Glycaemic Control Evaluated by Glycaeted Haemoglobin in Diabetic Patients with and without Diabetic Nephropathy

“…Among 100 patients have been recruited in the study, diabetic patients with nephropathy was (14%). Near to (15.3%) mentioned in the the study of Sohaila Cheema et al [13] .…”

Analysis of factors related to diabetic retinopathy in patients with newly diagnosed type 2 diabetes: a cross-sectional study

“…Our report agrees with other studies. Age at onset of diabetes was strongly associated with an increasing number of complications 36. In other regions, studies that have looked at the age of onset of diabetes have found that early onset diabetes increases disease severity.…”

Prognosis of Diabetic Peripheral Neuropathy via Decomposed Digital Volume Pulse from the Fingertip

“…The goals of caring for patients with type 2 diabetes mellitus are to reduce symptoms and to prevent, or at least slow down, the development of complications [ 10 ]. Glucose control in these patients undoubtedly has benefits for major microvascular endpoints; good glucose control does improve microvascular disease and should be achieved early and maintained over as long a period of time as possible [ 11 , 12 , 13 , 14 ]. On the other hand, early prediction of the signs of DPN through signal-analysis methods is urgently needed by diabetic patients and clinic doctors.…”