Abstract:
Background: Diabetes is a serious, chronic disease that occurs either when the pancreas does not
produce enough insulin or when the body cannot effectively use the insulin it produces. Type 2
diabetes results from the body’s ineffective use of insulin. Chronic diabetic complications are
recognized as an important cause of premature death and disability. However, there is a paucity of
information about type 2 diabetic complication and associated factors in Dire Dewa Ethiopia.
Objective: To assess proportion of chronic diabetic complication and associated factors among
type 2 adult diabetic patients at Dill Chora Referral hospital, Dire Dewa, Ethiopia
Method: Facility based cross sectional study design was conducted on a sample of 403 type 2
diabetic patients attending in diabetic clinic of Dill Chora referral hospital. Systematic sampling
technique was used to select the study subjects. Structured questionnaires and check lists were
used to collect data. Data analysis was carried out using Statistical package for social science
version 20. Using multivariable logistic regression analysis, odds ratio with 95% confidence
interval was estimated to identify factors associated with chronic diabetic complications. Finally,
statistical significance had been declared at p-value ≤ 0.05.
Result: Out 403 respondents 55.8% were females. Mean + (SD) duration of diabetes were 8.1 +
(4.72). Among all, 314(77.9%) of participant their Fasting Blood Glucose level was >130mg/dl.
The proportion of chronic diabetic complications was 76.2%, 95%CI (72% – 80.4%).
Multivariable logistic regression analysis found that females (AOR=3.76, P≤0.001), age ≥65years
(AOR=3.17, P=0.008), Fasting Blood Glucose level >130mg/dl (AOR=4.17, P≤0.001), history of
hypertension (AOR=4.83, P≤0.001), duration of diabetes >10years (AOR=5.26, P≤0.001) and
Body Mass Index >30kg/m2 (AOR=9.34, P≤0.001) were significantly associated with chronic
diabetic complication.
Conclusion: The proportion of chronic diabetic complications among 403 participants was
76.2%, 95%CI (72% – 80.4%). Gender (female), age of patients, Fasting Blood Glucose level,
history of hypertension, duration of diabetes and Body Mass Index level were significantly
associated with chronic diabetic complications.
Recommendation: Give special attention to patients with long duration of diabetes, high body
mass index, uncontrolled fasting blood glucose level, hypertensive and elderly patients.
