Agrawaal K K
Department of Internal Medicine, Universal College of Medical Sciences, Nepal.
JNMA J Nepal Med Assoc. 2015 Oct-Dec;53(200):284-287.
Diabetes is a major cause of morbidity and cardiovascular related mortality along with a major cause of preventable blindness and foot amputation. There are limited studies on diabetes awareness, attitude, and prevalence.
Thus, we designed a study to seek the patients awareness about the complications associated with diabetes. It was a prospective observational study which included 123 patients with Diabetes Mellitus.
The mean age of population studied was 53 years mainly from the Rupandehi and Nawalparasi districts in Nepal attending a clinic. In the study Erectile Dysfunction was statistically significant with postprandial hyperglycemia. Lack of Awareness about a calorie specific diet plan was significantly associated with increased blood sugar fasting level >110mg/dl. A majority of patients (58%) had awareness regarding kidney damage and 51% had awareness that Diabetes causes delayed wound healing. Only 3% of the patients did a regular foot care and 9% knew what the target glycemic status is. About 36% know that there can be cardiac complications due to diabetes and 27% regarding eyes. Similarly 36% of the patients also knew that there is neuropathy due to diabetes and 18% were aware about CVA. About 54% of the patients had Fasting >110mg%.
The study showed that though the patients are on OADs but they lack awareness about the major complications related to diabetes mellitus.
糖尿病是发病和心血管相关死亡率的主要原因，也是可预防失明和足部截肢的主要原因。关于糖尿病认知、态度和患病率的研究有限。
因此，我们设计了一项研究，以了解患者对糖尿病相关并发症的认知情况。这是一项前瞻性观察性研究，纳入了123例糖尿病患者。
所研究人群的平均年龄为53岁，主要来自尼泊尔鲁潘德希和纳瓦尔帕拉西县的一家诊所。在该研究中，勃起功能障碍与餐后高血糖在统计学上具有显著相关性。对特定热量饮食计划缺乏认知与空腹血糖水平>110mg/dl升高显著相关。大多数患者（58%）了解肾脏损害，51%知道糖尿病会导致伤口愈合延迟。只有3%的患者进行定期足部护理，9%的患者知道血糖控制目标。约36%的患者知道糖尿病可能导致心脏并发症，27%知道会影响眼睛。同样，36%的患者也知道糖尿病会导致神经病变，18%知道会导致脑血管意外。约54%的患者空腹血糖>110mg%。
该研究表明，尽管患者正在服用口服降糖药，但他们对糖尿病相关的主要并发症缺乏认知。
