Abstract
The Background and Purpose: to assess the prevalence of hypertension and micro-vascular complications among type 2 diabetic patients registered in primary health care center in Mukalla city at eastern Yemen. Methods: A Cross-sectional study was conducted in a randomly selected eligible patients from the diabetic registry of the AL Noor Charity Center (ACC), Mukalla city in Yemen. Results: Prevalence of hypertension in the T2DM patients were 46.7% (56/120). Retinopathy is the most micro-vascular complications among the adults having T2DM (73/120, 60.8%) while nephropathy is the least prevalence (13/120, 10.8%), prevalence of neuropathy was 49.2% (59/120). a high prevalence of retinopathy in males (66%) than females (55.7%) and a high prevalence of neuropathy in male adults (52.2%) than females (46%).No statistical significant difference were exit related to gender for any studied complications. Similar findings were observed regarding age related variations. Conclusion: A high prevalence of hypertension, retinopathy and neuropathy were reported among T2DM patients in Mukalla. Adopting effective and safe treatment strategies are highly recommended to prevent premature death and complications due to DM.
Highlights
Diabetes mellitus (DM) is a syndrome consisting of metabolic, vascular and neuropathic components that are interrelated
Retinopathy is the most micro-vascular complications among the adults having Type 2 diabetes mellitus (T2DM) (73/120, 60.8%) while nephropathy is the least prevalence (13/120, 10.8%), prevalence of neuropathy was 49.2% (59/120). a high prevalence of retinopathy in males (66%) than females (55.7%) and a high prevalence of neuropathy in male adults (52.2%) than females (46%).No statistical significant difference were exit related to gender for any studied complications
A high prevalence of hypertension, retinopathy and neuropathy were reported among T2DM patients in Mukalla
Summary
Diabetes mellitus (DM) is a syndrome consisting of metabolic, vascular and neuropathic components that are interrelated. The coexistence of hypertension and type 2 diabetes is a major contributor to the development and progression of macrovascular and micro-vascular complications in people with diabetes compared to the general population.[4, 13,14,15] As an example of this problem in developing countries; The prevalence of hypertension, the frequencies of undiagnosed hypertension and uncontrolled hypertension among Moroccan patients with type 2 diabetes were very high.[16] Micro-vascular complications from type 2 diabetes are common and include retinopathy leading to various degrees of visual impairment including blindness and has become a major cause of blindness throughout the world;[17,18] neuropathy, leading to pain and numbness, chronic and recurrent infected ulcers in the extremities which can lead to amputation; and nephropathy characterized by proteinuria leading to end stage renal disease It constitutes the major work load of dialysis centers.[3,7] Micro-vascular complications are the major outcome of type 2 Diabetes Mellitus progression, and increase diabetic mortality.[19] Information on prevalence of type 2 diabetes mellitus related complications is important for the updating of policies and practices in diabetic care management to gain better control of type 2 diabetes mellitus. The aims of this study were to assess the prevalence of hypertension and micro-vascular complications among type 2 diabetic patients registered in in primary health care center in Mukalla city at eastern Yemen
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