Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India

Introduction: Vascular complications are the major cause of morbidity in patients with diabetes mellitus. Screening for these complications is crucial in early detection and tertiary prevention. Hence, this study aimed at finding the prevalence of micro and macrovascular complications and their asso...

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Autores principales: Govindarajan Venguidesvarane, Akila, Jasmine, Aliya, Varadarajan, Samya, Shriraam, Vanishree, Muthuthandavan, Anitha Rani, Durai, Vanitha, Thiruvengadam, Gayathri, Mahadevan, Shriraam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786422/
https://www.ncbi.nlm.nih.gov/pubmed/33111620
http://dx.doi.org/10.1177/2150132720959962
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author Govindarajan Venguidesvarane, Akila
Jasmine, Aliya
Varadarajan, Samya
Shriraam, Vanishree
Muthuthandavan, Anitha Rani
Durai, Vanitha
Thiruvengadam, Gayathri
Mahadevan, Shriraam
author_facet Govindarajan Venguidesvarane, Akila
Jasmine, Aliya
Varadarajan, Samya
Shriraam, Vanishree
Muthuthandavan, Anitha Rani
Durai, Vanitha
Thiruvengadam, Gayathri
Mahadevan, Shriraam
author_sort Govindarajan Venguidesvarane, Akila
collection PubMed
description Introduction: Vascular complications are the major cause of morbidity in patients with diabetes mellitus. Screening for these complications is crucial in early detection and tertiary prevention. Hence, this study aimed at finding the prevalence of micro and macrovascular complications and their associated factors in type 2 diabetes mellitus patients in a rural health center by using simple and easily available tools. Methodology: This hospital based cross sectional study was conducted in Rural Health and Training Centre (RHTC) of Sri Ramachandra medical college from Jan 2017 to Aug 2017. All type 2 diabetes patients registered at RHTC were included in the study. By the use of questionnaire, clinical examination and laboratory investigations, the prevalence of macro and microvascular complications and associated factors were ascertained. Multiple logistic regression was used to identify factors associated with vascular complications of diabetes. Results: The study included 390 type 2 diabetes patients. The overall prevalence of macrovascular and microvascular complications in our study population was 29.7% and 52.1%, respectively. Among the macrovascular complications, both coronary artery disease (CAD) and peripheral vascular disease (PVD) had a prevalence rate of 15.1%. Among the microvascular complications, peripheral neuropathy (44.9%) had the highest prevalence followed by nephropathy (12.1%) and diabetic foot (7.2%). Multiple logistic regression analyses showed high HbA1c level, lower education, high postprandial blood sugar, hypertension, abdominal obesity were significantly associated with increased risk of vascular complications of diabetes. Conclusion: This study demonstrated the increased prevalence of vascular complications in Type 2 diabetes patients in rural India. Regular screening to identify those patients at risk could prevent further progression of complications.
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spelling pubmed-77864222021-01-14 Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India Govindarajan Venguidesvarane, Akila Jasmine, Aliya Varadarajan, Samya Shriraam, Vanishree Muthuthandavan, Anitha Rani Durai, Vanitha Thiruvengadam, Gayathri Mahadevan, Shriraam J Prim Care Community Health Original Research Introduction: Vascular complications are the major cause of morbidity in patients with diabetes mellitus. Screening for these complications is crucial in early detection and tertiary prevention. Hence, this study aimed at finding the prevalence of micro and macrovascular complications and their associated factors in type 2 diabetes mellitus patients in a rural health center by using simple and easily available tools. Methodology: This hospital based cross sectional study was conducted in Rural Health and Training Centre (RHTC) of Sri Ramachandra medical college from Jan 2017 to Aug 2017. All type 2 diabetes patients registered at RHTC were included in the study. By the use of questionnaire, clinical examination and laboratory investigations, the prevalence of macro and microvascular complications and associated factors were ascertained. Multiple logistic regression was used to identify factors associated with vascular complications of diabetes. Results: The study included 390 type 2 diabetes patients. The overall prevalence of macrovascular and microvascular complications in our study population was 29.7% and 52.1%, respectively. Among the macrovascular complications, both coronary artery disease (CAD) and peripheral vascular disease (PVD) had a prevalence rate of 15.1%. Among the microvascular complications, peripheral neuropathy (44.9%) had the highest prevalence followed by nephropathy (12.1%) and diabetic foot (7.2%). Multiple logistic regression analyses showed high HbA1c level, lower education, high postprandial blood sugar, hypertension, abdominal obesity were significantly associated with increased risk of vascular complications of diabetes. Conclusion: This study demonstrated the increased prevalence of vascular complications in Type 2 diabetes patients in rural India. Regular screening to identify those patients at risk could prevent further progression of complications. SAGE Publications 2020-10-28 /pmc/articles/PMC7786422/ /pubmed/33111620 http://dx.doi.org/10.1177/2150132720959962 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Govindarajan Venguidesvarane, Akila
Jasmine, Aliya
Varadarajan, Samya
Shriraam, Vanishree
Muthuthandavan, Anitha Rani
Durai, Vanitha
Thiruvengadam, Gayathri
Mahadevan, Shriraam
Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India
title Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India
title_full Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India
title_fullStr Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India
title_full_unstemmed Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India
title_short Prevalence of Vascular Complications Among Type 2 Diabetic Patients in a Rural Health Center in South India
title_sort prevalence of vascular complications among type 2 diabetic patients in a rural health center in south india
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786422/
https://www.ncbi.nlm.nih.gov/pubmed/33111620
http://dx.doi.org/10.1177/2150132720959962
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