Abstract

Introduction: The prevalence of diabetes is on the increase and an estimated 239 million people worldwide are expected to have the condition by the year 2020 (1). Diabetes mellitus (DM) represents a serious healthcare challenge. The aim of the study was to evaluate the patient clinical characteristics and risk factors for long term complications in the endocrine clinic of Hospital Penang, Malaysia.Methods: Descriptive Prospective cross-sectional study design was chosen. To achieve a power of 0.7 with alpha set at 0.05, 186 subjects were required for the study but researcher increase the sample to 297 in caseof drop out. Self-developed data collection form was used to collect the patient information.Results: 297 (100%) patients were enrolled from OPD diabetic clinic of Hospital Palau Pinang. Among the sample 150 (50.5%) were males and rest 147 (49.5%) females. Malay males mean weight at the time of diagnosis significantly higher (p<0.001,) as compared to other ethnics, same results found among Malay females (p<0.001). Findings suggested increased number of risk factors among the study population. Finding alsoshowed that hypertension found among all the classes of diagnosis. Signifi cant variable are diagnosis class and medication consideration.Conclusion of the study suggested that majority of patients are at high risk of long-term complications and comorbidies. It has been found that increased rate of risk factors have been found among the study population and non-significant to sociodemographic differences.

Highlights

  • The prevalence of diabetes is on the increase and an estimated 239 million people worldwide are expected to have the condition by the year 2020 [1]

  • It has been found that increased rate of risk factors have been found among the study population and non-significant to sociodemographic differences

  • The World Health Organization (WHO) classification system of Diabetes mellitus (DM) recognized two major forms of diabetes [5]; Type 1 diabetes mellitus (DM), formerly known as insulin dependent diabetes mellitus (IDDM; patient is dependent on exogenous insulin for survival) and Type 2 DM, formerly known as non-insulin dependent diabetes mellitus (NIDDM; patient is not necessary dependent on exogenous insulin for survival)

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Summary

Introduction

The prevalence of diabetes is on the increase and an estimated 239 million people worldwide are expected to have the condition by the year 2020 [1]. The aim of the study was to evaluate the patient clinical characteristics and risk factors for long term complications in the endocrine clinic of Hospital Penang, Malaysia. Diabetes mellitus (DM) represents a serious health care challenge. It is a heterogeneous disorder characterized by varying degrees of insulin resistance and insulin deficiency, which leads to disturbances in glucose homeostasis. It is commonly associates with prolonged ill health and premature death [2]. Teamwork and collaboration are essential components of successful DM management, both to prevent complications and maintain the patients’ health-related quality of life (HRQOL) over a JOURNAL OF HEALTH SCIENCES 2012; 2 [2]

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