Prevalence of complications of diabetes among patients with diabetes mellitus attending a tertiary care centre in Tamil Nadu

M. S. Praythiesh Bruce, M. C. Vasantha Mallika


Background: Diabetes will be the 7th leading cause of death by the year 2030 as per the World Health Organization. In adults the prevalence of diabetes globally has risen from 4.7% in 1980 to 8.5% in 2014. Level of awareness depends on socioeconomic class, literacy of the patients, training received by them, source of information on diabetes. Knowledge, attitude, and practices about diabetes mellitus and its complications are important to reduce the prevalence and morbidity associated with diabetes mellitus and its complications.

Methods: The cross sectional study was conducted among 201 patients with diabetes visiting. Outpatient department of Sree Mookambika Institute of Medical Sciences, Kulasekharam, Tamil Nadu during a period from January 2017 to June 2018 using a pre-tested, semi structured questionnaire.

Results: Among 201 patients with diabetes included in the study, 69.0% had one or more of the complications of diabetes. Factors significantly associated with high rate of complications were the female gender (p<0.001), obesity, rural residential area, high blood pressure (p<0.001), familial history of diabetes (p<0.001), duration of the disease above 5 years (p< 0.001) and high HbA1c level (p<0.001).

Conclusions: This study revealed that type 2 diabetic patients followed up in the OPD of SMIMS showed a high rate of chronic complications which often occurred in age more than 50 years. Socio-demographic and biological factors were significantly associated with the high rate of complications of diabetes.



Diabetes mellitus, Complications, Tertiary care center

Full Text:



World Health Organisation Factsheets Diabetes. World Health Organisation, 2017. Available at: http://Www.Who.Int/Mediacentre/Factsheets/Fs349/En/. Accessed on 27 January 2019.

World Health Organisation Factsheets Diabetes Complications. World Health Organisation, 2017. Available at: Http://Www.Who.Int/Mediacentre /Factsheets/Fs 350/En/. Accessed on 27 January 2019.

World Health Organisation Factsheets Diabetes Retinopathy Ccomplications. World Health Organisation, 2017. Available at: Http://Www.Who. Int/Mediacentre/Factsheets/Fs 351/En/. Accessed on 29 January 2019.

Ali A. Quelques aspects épidémiologiques du diabète de type 2 au Niger. Louvain Méd. 2000;119:265.

Charles D, Gueye M, Wade B. Diabète du sujet âgé: A propos de 52 observations consécutives. Méd Afrique Noire. 1997;44:18-23.

Djrolo F, Paraïso Nm, Diarra O, Makoutode M. Diabetes Complications And Associated Factors In Type 2 Diabetic Patients In Cotonou. J Diab Mellitus. 2014;4(4):311.

Belkhadir J, El-Alaoui Z. Approche épidémiologique du diabète en milieu marocain. Méd Maghreb. 1993;37:35-7.

Touré A, Suivi du. diabète de type 2: Epidémiologie, traitement et évolution. Thèse de Médecine, Université du Mali. 1998.

Romon I, Brindel P, Fagot-Campagna A, Bloch, J. Analyse de la relation entre l’existence d’une prise encharge pour affection de longue durée et le suivi des recommandations de bonnes pratiques dans le diabète de type 2. Bulletin Epidémiologique Hebdomadaire. 2003;20:88-9.

Ouerdane K, Aouiche S, Frioui M, Boudaoud AA, Ragguem A, Boudiba A. Fréquence de la neuropathie diabétique douloureuse dans une population algéroise de 400 malades. Diab Metabol. 2013;39:30-1.

Fendi O, Khadhraoui E, Demnati C, Gaigi I, Mami FB, Trabelsi N, et al. La neuropathie diabétique évaluée par le score DN4. Diab Metabol. 2011;37:81.

Khadraoui E, Fendi O, Dogrhi S, Gaigi I, Falfoul E, Gaigi S. Rétinopathie diabétique chez les patients diabétiques de type 2. Diab Metabol. 2011;37:88.

Rosenberg JB, Friedman IB, Gurland EJ. Compliance with Screening Guidelines for Diabetic Retinopathy in a Large Academic Children’s Hospital in the Bronx. J Diab Complications. 2011;25:222-6.

Maniarasu K, Muthunarayanan L. Prevalence Of Certain Chronic Complications Of Diabetes Among Type 2 Diabetic Patients In Rural Population Of Kancheepuram District, Tamil Nadu-A Cross Sectional Study. Int J Med Public Health. 2017;7(1).