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Complications of type 2 diabetes mellitus in Ramallah and al-Bireh: The Palestinian Diabetes Complications and Control Study (PDCCS)
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2018 (English)In: Primary Care Diabetes, ISSN 1751-9918, E-ISSN 1878-0210, Vol. 12, no 6, p. 547-557Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Type 2 diabetes mellitus (T2DM) is a growing pandemic that will lead, if not managed and controlled, to frequent complications, poor quality of life, and high rates of disability and death. Little is known about T2DM complications in Palestine. The aim of this study is to estimate the prevalence of T2DM complications in Ramallah and al-Bireh governorate of Palestine.

METHODS: The study was conducted in eleven primary healthcare clinics offering services for persons with T2DM. Macrovascular complications were assessed using the Diabetes complication index. Microvascular complications were measured by physical examinations and laboratory tests. Questionnaires, laboratory tests, and physical examinations were used to assess socio-demographic characteristics, co-morbidities and other risk factors.

RESULTS: 517 adult men and nonpregnant women participated in the study (166 men, 351 women). The response rate was 84%. Mean age and mean duration of diabetes were 58.1 and 9.4 years respectively. Prevalence of diagnosed microvascular and macrovascular complications was 67.2% and 28.6% respectively. 78.2% of the participants had poor glycemic control (HbA1c≥7.0%).

CONCLUSION: Significant proportions of persons with T2DM had macro- and microvascular complications and poor metabolic control. These findings are important for policy development and the planning of health services.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 12, no 6, p. 547-557
Keywords [en]
Glycemic control, Macrovascular complications, Microvascular complications, Primary health care clinics, Risk factors, Type 2 diabetes
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:umu:diva-150611DOI: 10.1016/j.pcd.2018.07.002ISI: 000452344100009PubMedID: 30072279OAI: oai:DiVA.org:umu-150611DiVA, id: diva2:1238744
Funder
Sida - Swedish International Development Cooperation AgencyAvailable from: 2018-08-14 Created: 2018-08-14 Last updated: 2019-01-08Bibliographically approved

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Norberg, Margareta

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CiteExportLink to record
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Citation style
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Output format
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