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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 15 (21-31 May)

Original-research-article

Current Clinical Status and Vascular Complications among Patients with Type 2 Diabetes Mellitus at Tertiary Hospitals in Malaysia

 

Mun Chieng Tan1*, Ooi Chuan Ng2, Teck Wee Wong3, Abdul Rahman Hejar4 and Anthony Joseph2*

1Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia.
2Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia.
3Heart and Lung Centre, iHEAL Medical Centre Kuala Lumpur, Level 7 & 8, Annexe Block, Menara IGB, Mid Valley City, Lingkaran Syed Putra, Kuala Lumpur, Malaysia.
4Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia.

Article Information

Editor(s):

(1) Anonymous.

Reviewers:

(1) Anonymous.

(2) Anonymous.

(3) Anonymous.

(4) Anonymous.

(5) Bakari Adamu Girei, Ahmadu Bello University, Nigeria.

Complete Peer review History: http://www.sciencedomain.org/review-history/3909

Abstracts

Objective: To assess the prevalence of diabetic vascular complications and cardiovascular risk factors control in type 2 diabetic patients at tertiary settings.
Methods: This cross-sectional study was conducted among 313 patients diagnosed with type 2 diabetes mellitus (T2DM) at two tertiary referral hospitals in Malaysia. Data regarding socio-demographics, macro- and microvascular complications, family health history, blood pressure, anthropometric indices, glycaemic control, and lipid profile were obtained from medical records, face-to-face interview and physical examination.
Results: The mean age of patients was 55.7±9.2 years, mean diabetes duration was 10.1±8.1 years, and 52.1% were females. Approximately 36.1% patients had cardiovascular disease (CVD). There were high prevalence of established coronary artery disease (30.7%), cerebrovascular disease (10.2%), and peripheral vascular disease (5.1%). Peripheral neuropathy, diabetic nephropathy and retinopathy were present in 41.5%, 17.6% and 15.0% patients respectively. Only 14.1% of the patients reached optimal HbA1c level and 21.1% patients achieved target fasting plasma glucose. The overall prevalence of dyslipidemia was 89.1%, hypertension was 80.2%, and obesity was 35.9% (BMI) and 86.5% (waist-to-hip ratio).
Conclusions: Diabetic vascular complications were highly prevalent among the type 2 diabetic patients. Cardiovascular risk factors control was suboptimal. Both awareness and application of recommended guidelines need to be reinforced.

Keywords :

Diabetic vascular complications; cardiovascular disease; neuropathy; nephropathy; retinopathy; cardiovascular risk factors; type 2 diabetes mellitus; tertiary referral hospitals.

Full Article - PDF    Page 2896-2909

DOI : 10.9734/BJMMR/2014/7893

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