Clinical Status and Prevalence of Chronic Complications in Type 2 Diabetes in a Primary Care Unit of Udon Thani Hospital-ลักษณะทางคลินิกและความชุกของภาวะแทรกซ้อนเรื้อรังในผู้ป่วยเบาหวานชนิดที่ 2 ศูนย์สุขภาพชุมชน โรงพยาบาลอุดรธานี

บทคัดย่อ

          The objectives of this descriptive cross-sectional study were to identify the clinical status and the prevalence of chronic vascular complications in type 2 diabetes in a Primary Health Care Unit of Udon Thani Hospital. The study was conducted from April to August 2007. Data on medical histories, physical examinations, fasting plasma glucose, lipid and creatinine levels were complied.
Measuring of glomerular filtration rate, foot examinations and fundoscopy were performed. 

         The study included 114 patients (female 67.54%). Their mean age and diabetes duration were 60.6 ± 9.5 and 5.3 ± 5.6 years respectively. The majority of them (81.59%) had had diabetes for less than 10 years. 55.26 percent were obese (BMI ≥ 25 kg/m2) and 21.05 percent overweight (BMI 23-
24.9 kg/m2); 75.44 percent of them had abdominal obesity. According to the American Diabetes Association - 2006 guideline, 55.26 percent of the patients could control the systolic blood pressure (< 130 mmHg), 69.30 percent on diastolic blood pressure (< 80 mmHg), 48.25 percent on fasting plasma glucose (≤ 130 mg/dl) and 30.48 percent on LDL/non-HDL cholesterol (<100/130 mg/dl).

          The prevalence of decreased kidney function or chronic kidney disease stage 3-5 (GFR < 60 ml/min/1.73 m2) was 21.93 percent. Whereas reported complications were 0.88 percent acute foot ulcer, 2.67 percent peripheral neuropathy and 30.0 percent diabetic retinopathy. While coronary artery and cerebrovascular disease were found in 7.02 percent of the patients

           Early detection of vascular complication and intensive improvement of holistic diabetes care could reduce and delay progression of chronic diabetic complications.

Key words: type 2 diabetes, chronic complications, prevalence, Primary Health  Care Unit