Abstract
BackgroundType 2 diabetes mellitus is associated with a diverse range of pathologies. The aim of the study was to determine the incidence of diabetes-related complications, the prevalence of coexistent chronic conditions and to report multimorbidity in people with type 2 diabetes living in the Basque Country.MethodsAdministrative databases, in four cross sections (annually from 2007 to 2011) were consulted to analyse 149,015 individual records from patients aged ≥35 years with type 2 diabetes mellitus. The data observed were: age, sex, diabetes-related complications (annual rates of acute myocardial infarction, major amputations and avoidable hospitalisations), diabetes-related pathologies (prevalence of ischaemic heart disease, renal failure, stroke, heart failure, peripheral neuropathy, foot ulcers and diabetic retinopathy) and other unrelated pathologies (44 diseases).ResultsThe annual incidence for each condition progressively decreased during the four-year period: acute myocardial infarction (0.47 to 0.40%), major amputations (0.10 to 0.08%), and avoidable hospitalisations (5.85 to 5.5%). The prevalence for diabetes-related chronic pathologies was: ischaemic heart disease (11.5%), renal failure (8.4%), stroke (7.0%), heart failure (4.3%), peripheral neuropathy (1.3%), foot ulcers (2.0%) and diabetic retinopathy (7.2%). The prevalence of multimorbidity was 90.4%. The highest prevalence for other chronic conditions was 73.7% for hypertension, 13.8% for dyspepsia and 12.7% for anxiety.ConclusionsIn the type 2 diabetes mellitus population living in the Basque Country, incidence rates of diabetes complications are not as high as in other places. However, they present a high prevalence of diabetes related and unrelated diseases. Multimorbidity is very common in this group, and is a factor to be taken into account to ensure correct clinical management.
Highlights
Type 2 diabetes mellitus is associated with a diverse range of pathologies
Incidences of chronic diabetes-related complications have been related to poor metabolic control, disease duration and the presence of associated Cardiovascular Risk Factor (CVRF) [8,9,10], these factors account for only a part of this increased cardiovascular risk [6]
Evolution of the incidence of diabetes-related complications It was observed that the incidence of diabetes-related complications has declined over the past four years
Summary
Type 2 diabetes mellitus is associated with a diverse range of pathologies. The aim of the study was to determine the incidence of diabetes-related complications, the prevalence of coexistent chronic conditions and to report multimorbidity in people with type 2 diabetes living in the Basque Country. Diabetes is a chronic disease that leads to high morbidity and mortality resulting from the complications that. Incidences of chronic diabetes-related complications have been related to poor metabolic control, disease duration and the presence of associated CVRFs [8,9,10], these factors account for only a part of this increased cardiovascular risk [6]. Previous studies have examined coexisting chronic pathologies in patients with type 2 diabetes mellitus [16,17]
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