Official publication of Rawalpindi Medical University
Awareness About Diabetes And Its Complications Among Patients With Diabetes Mellitus

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Keywords

Type 2 diabetes mellitus
awareness
complications

How to Cite

1.
Batool F, Malik K, Meraj L, Siddiq S, Majeed A, Khan S. Awareness About Diabetes And Its Complications Among Patients With Diabetes Mellitus . JRMC [Internet]. 2023 Dec. 30 [cited 2024 Dec. 10];27(4). Available from: https://journalrmc.com/index.php/JRMC/article/view/2381

Abstract

Objective: Awareness of diabetes and its potential complications is crucial for effective management and prevention of long-term health risks. This study aimed to assess the level of awareness and understanding of diabetes and its complications among patients diagnosed with type 2 diabetes mellitus.

Methods: A cross-sectional study included 200 patients with type 2 diabetes mellitus as per the American Diabetes Association (ADA) criteria. Type 1 diabetes and gestational diabetes patients were excluded from the study. The duration of the study was 8 months. The patient’s awareness regarding diabetes and its complications was assessed as per the prefixed questionnaire.  Analysis of the data was carried out with SPSS version 28. The Chi-square test was used to investigate the association of awareness of diabetes mellitus with various independent variables variable as age and duration of diabetes. The level of statistical significance was p <0.05.

Results: Among the participants, 80 (40%) were male and 120 (60%) were female. A significant portion of patients 73 (36.5%) were never informed about diabetes or its complications. 69 (34%) of patients were never educated about the symptoms of hypoglycemia. 142 (71%) of the patients had a glucometer and 88 (44%) participants had poor follow-up and never checked HbA1C. Moreover, Patients with longer diabetes duration were more likely to visit ophthalmologists at regular intervals (P value 0.023). 111 (56%) never checked their urine for proteinuria and 172 (86%) were aware that diabetes can affect their kidneys. Foot care and awareness of diabetic foot complications were lacking among patients. 48 (24%) examined their feet daily, 66 (33%) never examined their feet, and 73 (36%) were never told about foot care by their doctors. The statistically significant impact of age on patients' knowledge regarding blood sugar levels (P=0.009) and foot care (P=0.013)

Conclusion: There is a significant lack of awareness among individuals with diabetes, highlighting the urgent need for educational initiatives. Both the public and private healthcare sectors should take the responsibility of providing awareness programs.

Keywords: Type 2 diabetes mellitus, awareness, complications.

https://doi.org/10.37939/jrmc.v27i4.2381

References

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, Colagiuri S, Guariguata L, Motala AA, Ogurtsova K, Shaw JE. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice. 2019 Nov 1;157:107843.DOI:10.1016/j.diabres.2019.107843.

Azeem S, Khan U, Liaquat A. The increasing rate of diabetes in Pakistan: A silent killer. Ann Med Surg (Lond). 2022 Jun 3;79:103901. DOI: 10.1016/j.amsu.2022.103901.

Pakistan ranks 3rd in prevalence of diabetes in the world after China and India https://www.thenews.com.pk/print/899124-pakistan-ranks-3rd-in-prevalence-of-diabetes-in-world-after-china-and-india

Members https://idf.org/our-network/regions-members/middle-east-and-north-africa/members/43-pakistan.html

Harding JL, Pavkov ME, Magliano DJ, Shaw JE, Gregg EW. Global trends in diabetes complications: a review of current evidence. Diabetologia. 2019 Jan;62:3-16.DOI:10.1007/s00125-018-4711-2

Asamoah-Boaheng M, Sarfo-Kantanka O, Tuffour AB, Eghan B, Mbanya JC. Prevalence and risk factors for diabetes mellitus among adults in Ghana: a systematic review and meta-analysis. International health. 2019 Mar 1;11(2):83-92. DOI:10.1093/inthealth/ihy067

Basit A, Fawwad A, Qureshi H, Shera AS. Prevalence of diabetes, pre-diabetes and associated risk factors: second National Diabetes Survey of Pakistan (NDSP), 2016–2017. BMJ open. 2018 Aug 1;8(8): e020961.DOI:10.1136/bmjopen-2017-020961

Hafeez M, Achar P, Neeralagi M, Naik GT. Correlation between diabetic retinopathy and diabetic peripheral neuropathy in patients with type II diabetes mellitus. Journal of Pharmacy & Bioallied Sciences. 2022 Jul;14(Suppl 1):S658. doi: 10.4103/jpbs.jpbs_138_22

Alanazi FK, Alotaibi JS, Paliadelis P, Alqarawi N, Alsharari A, Albagawi B. Knowledge and awareness of diabetes mellitus and its risk factors in Saudi Arabia. Saudi medical journal. 2018 Oct;39(10):981. doi: 10.15537/smj.2018.10.22938

Karadağ FY, Saltoğlu N, Ak Ö, Aydın GÇ, Şenbayrak S, Erol S, Özatağ DM, Kadanalı A, Küçükardalı Y, Çomoğlu Ş, Yörük G. Foot self-care in diabetes mellitus: evaluation of patient awareness. Primary care diabetes. 2019 Dec 1;13(6):515-20. DOI:10.1016/j.pcd.2019.06.003

ElSayed NA, Aleppo G, Aroda VR, Bannuru RR, Brown FM, Bruemmer D, Collins BS, Hilliard ME, Isaacs D, Johnson EL, Kahan S. 2. Classification and diagnosis of diabetes: standards of care in diabetes—2023. Diabetes care. 2023 Jan 1;46(Supplement_1):S19-40. DOI:10.2337/dc23-S002

Kishore S, Upadhyay AD. Awareness of foot care among patients with diabetes attending a tertiary care hospital. The National Medical Journal of India. 2015 May 1;28(3):122-5.

Goie TT, Naidoo M. Awareness of diabetic foot disease amongst patients with type 2 diabetes mellitus attending the chronic outpatients department at a regional hospital in Durban, South Africa. African Journal of Primary Health Care and Family Medicine. 2016 Jan 1;8(1):1-8.

Younis H, Younis S, Ahmad S. Awareness regarding complications of type II diabetes mellitus among diabetics in Karachi, Pakistan. Int J Endorsing Health Sci Res. 2019;7(1):47-54.

Sheikh KH, Salman IM, Alghofaili NA, Baothman RA. Awareness about diabetes mellitus among adolescents age group in Jeddah city, Saudi Arabia. Med Sci. 2020;24(103):1452-60.

Preethikaa S, Brundha MP. Awareness of diabetes mellitus among general population. Research Journal of Pharmacy and Technology. 2018;11(5):1825-9. DOI: 10.5958/0974-360X.2018.00339.6

Siddiq S, Malik K, Batool F. Frequency of Non-Alcoholic Fatty Liver Disease in Obese and Non-Obese Diabetics and Its Relation to Duration of Diabetes Mellitus. National Editorial Advisory Board. 2018 Aug;29(8):42.

Latif S, Batool F, Kausar Malik SH. Wagner's grades in patients undergoing lower extremity. Rawal Medical Journal. 2016 Oct;41(4). https://www.rmj.org.pk/?mno=230010

Bansal C, Kaushik R, Kaushik RM. Awareness of diabetic nephropathy in patients with type 2 diabetes mellitus: the Indian scenario. J Nephropharmacol. 2018;7(2):90-97.DOI: 10.15171/npj.2018.20.

Nayak BS, Khan K, Kidney C, Knowles V, Koo A, Lakhan A, Lalla D, Lalloo C, Lallo SA, Singh S. Demographic and lifestyle factors that affect HbA1c awareness amongst type II diabetic patients in Trinidad. Archives of Physiology and Biochemistry. 2018 Oct 20;124(5):397-400.DOI:10.1080/13813455.2017.1412466.

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Copyright (c) 2023 Faiza Batool, Kausar Malik, Lubna Meraj, Shazia Siddiq, Abbas Majeed, Sadia Khan