Investigating Factors Associated with Diabetes Complications among Type 2 Diabetic Patients
Author(s): Mohsen Fereidony, Mohammad Shoghiyan-davar, Ommol-banin Bigane, Yousef Bashiri, Monireh Dehghani-Arani, Nahid Bagheri
Abstract
Generally, diabetes is a chronic and prevalent disease worldwide. Moreover, it has many physical complications such as ocular, renal and cardiovascular complications. Considering the high prevalence of diabetes and its complications, the present study aimed to investigate the prevalence of chronic diabetes complications and its associated factors in patients referred to the Diabetes Center of Aran va Bidgol. The present research is a descriptive-analytical and cross-sectional study that was conducted in 2017. Statistical population consisted of diabetics referring to Diabetes Centers in Aran va Bidgol. Among all the patients referred to health centers, 340 patients were selected by simple random sampling. An increase in the amount of A1C increases the likelihood of renal complications in patients by 6.12 times which is about 6 times higher. Furthermore, the number of referrals has a negative impact on the likelihood of renal complications. An increase in the number of referrals to level 2 of services (specialists) reduces the probability of renal complications in patients to 0.47 times, that is, about 53%. Interventions such as higher number of referrals to level 2 of services (specialists) and controlling the amount of A1C can reduce the spread of complications associated with diabetes. Moreover, given that the patient age is a variable which positively affects the probability of cardiovascular complications and it cannot be controlled, it seems that the programs for assessing the risk of heart attack should be implemented in accordance with relevant guidelines and over 30 years of age.
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