TITLE:
Diabetes Complications and Associated Factors in Type 2 Diabetic Patients in Cotonou
AUTHORS:
François Djrolo, Noël M. Paraïso, Oumou Diarra, Michel Makoutode
KEYWORDS:
Diabetes, Complications, Associated Factors
JOURNAL NAME:
Journal of Diabetes Mellitus,
Vol.4 No.4,
October
24,
2014
ABSTRACT: Long-term complications are the main
sources of morbidity and mortality in diabetic patients. Aims: The aims of the
study were to determine the rate of long-term complications in type 2 diabetic
patients and to identify factors associated to these complications. Patients
and method: Successive type 2 diabetic patients attending the diabetic center
were submitted to a questionnaire and to clinical examination. Data were
completed by consulting their medical reports. Chi square test was used for
statistical analysis. Results: In 150 diabetic patients included in the study,
the global rate of complications was 78.0%. Specific rate for itch complication
investigated was 57.7% for peripheral neuropathy, 75.0% for erectile
dysfunction, 20.0% for nephropathy, 36.6%
for retinopathy, 40% for macroangiopathy and 8.0% for foot ulcer. Factors
significantly associated with high rate of complications were age above or
equal to 50 years (p = 0.001), the male gender (p = 0.000), high blood pressure
(p = 0.0001), the absence of familial history of diabetes (p = 0.02), the
duration of the disease above 5 years (p = 0.001) and high HbA1c level (p =
0.001). Conclusion: This study revealed that type 2 diabetic patients followed
up in the diabetic center in Cotonou showed a high rate of chronic
complications which often occurred in a younger age than in developed
countries. Numerous socio-demographic and biological factors were significantly
associated with the high rate of complications.