PROPORTION OF CHRONIC DIABETIC COMPLICATIONS AND ASSOCIATED FACTORS AMONG ADULT TYPE 2 DIABETIC PATIENTS IN DILL CHORA REFERRAL HOSPITAL, DIRE DEWA, ESTEREN ETHIOPIA

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.