Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia
Objective: To assess the prevalence of diabetic vascular complications and cardiovascular risk factors control in type 2 diabetic patients at tertiary settings. Methods: This cross-sectional study was conducted among 313 patients diagnosed with type 2 diabetes mellitus (T2DM) at two tertiary referra...
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Sciencedomain International
2014
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Online Access: | http://psasir.upm.edu.my/id/eprint/36948/1/Current%20clinical%20status%20and%20vascular%20complications%20among%20patients%20with%20type%202%20diabetes%20mellitus%20at%20tertiary%20hospitals%20in%20Malaysia.pdf http://psasir.upm.edu.my/id/eprint/36948/ http://www.sciencedomain.org/abstract.php?iid=455&id=12&aid=3909 |
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my.upm.eprints.369482015-12-01T02:27:44Z http://psasir.upm.edu.my/id/eprint/36948/ Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia Tan, Mun Chieng Ng, Ooi Chuan Wong, Teck Wee Abdul Rahman, Hejar Anthony, Joseph Objective: To assess the prevalence of diabetic vascular complications and cardiovascular risk factors control in type 2 diabetic patients at tertiary settings. Methods: This cross-sectional study was conducted among 313 patients diagnosed with type 2 diabetes mellitus (T2DM) at two tertiary referral hospitals in Malaysia. Data regarding socio-demographics, macro- and microvascular complications, family health history, blood pressure, anthropometric indices, glycaemic control, and lipid profile were obtained from medical records, face-to-face interview and physical examination. Results: The mean age of patients was 55.7±9.2 years, mean diabetes duration was 10.1±8.1 years, and 52.1% were females. Approximately 36.1% patients had cardiovascular disease (CVD). There were high prevalence of established coronary artery disease (30.7%), cerebrovascular disease (10.2%), and peripheral vascular disease (5.1%). Peripheral neuropathy, diabetic nephropathy and retinopathy were present in 41.5%, 17.6% and 15.0% patients respectively. Only 14.1% of the patients reached optimal HbA1c level and 21.1% patients achieved target fasting plasma glucose. The overall prevalence of dyslipidemia was 89.1%, hypertension was 80.2%, and obesity was 35.9% (BMI) and 86.5% (waist-to-hip ratio). Conclusions: Diabetic vascular complications were highly prevalent among the type 2 diabetic patients. Cardiovascular risk factors control was suboptimal. Both awareness and application of recommended guidelines need to be reinforced. Sciencedomain International 2014-05 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/36948/1/Current%20clinical%20status%20and%20vascular%20complications%20among%20patients%20with%20type%202%20diabetes%20mellitus%20at%20tertiary%20hospitals%20in%20Malaysia.pdf Tan, Mun Chieng and Ng, Ooi Chuan and Wong, Teck Wee and Abdul Rahman, Hejar and Anthony, Joseph (2014) Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia. British Journal of Medicine & Medical Research, 4 (15). pp. 2896-2909. ISSN 2231-0614 http://www.sciencedomain.org/abstract.php?iid=455&id=12&aid=3909 10.9734/BJMMR/2014/7893 |
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Objective: To assess the prevalence of diabetic vascular complications and cardiovascular risk factors control in type 2 diabetic patients at tertiary settings. Methods: This cross-sectional study was conducted among 313 patients diagnosed with type 2 diabetes mellitus (T2DM) at two tertiary referral hospitals in Malaysia. Data regarding socio-demographics, macro- and microvascular complications, family health history, blood pressure, anthropometric indices, glycaemic control, and lipid profile were obtained from medical records, face-to-face interview and physical examination. Results: The mean age of patients was 55.7±9.2 years, mean diabetes duration was 10.1±8.1 years, and 52.1% were females. Approximately 36.1% patients had cardiovascular disease (CVD). There were high prevalence of established coronary artery disease (30.7%), cerebrovascular disease (10.2%), and peripheral vascular disease (5.1%). Peripheral neuropathy, diabetic nephropathy and retinopathy were present in 41.5%, 17.6% and 15.0% patients respectively. Only 14.1% of the patients reached optimal HbA1c level and 21.1% patients achieved target fasting plasma glucose. The overall prevalence of dyslipidemia was 89.1%, hypertension was 80.2%, and obesity was 35.9% (BMI) and 86.5% (waist-to-hip ratio). Conclusions: Diabetic vascular complications were highly prevalent among the type 2 diabetic patients. Cardiovascular risk factors control was suboptimal. Both awareness and application of recommended guidelines need to be reinforced. |
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Tan, Mun Chieng Ng, Ooi Chuan Wong, Teck Wee Abdul Rahman, Hejar Anthony, Joseph |
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Tan, Mun Chieng Ng, Ooi Chuan Wong, Teck Wee Abdul Rahman, Hejar Anthony, Joseph Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia |
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Tan, Mun Chieng Ng, Ooi Chuan Wong, Teck Wee Abdul Rahman, Hejar Anthony, Joseph |
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Tan, Mun Chieng |
title |
Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia |
title_short |
Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia |
title_full |
Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia |
title_fullStr |
Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia |
title_full_unstemmed |
Current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in Malaysia |
title_sort |
current clinical status and vascular complications among patients with type 2 diabetes mellitus at tertiary hospitals in malaysia |
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Sciencedomain International |
publishDate |
2014 |
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http://psasir.upm.edu.my/id/eprint/36948/1/Current%20clinical%20status%20and%20vascular%20complications%20among%20patients%20with%20type%202%20diabetes%20mellitus%20at%20tertiary%20hospitals%20in%20Malaysia.pdf http://psasir.upm.edu.my/id/eprint/36948/ http://www.sciencedomain.org/abstract.php?iid=455&id=12&aid=3909 |
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