Family & Community Medicine Department, College of Medicine, King Khalid University, Abha, Saudia Arabia.
Medical Colleague, College of Medicine, King Khalid University, Abha, Saudia Arabia.
Medicine (Baltimore). 2024 Sep 27;103(39):e39895. doi: 10.1097/MD.0000000000039895.
Diabetes mellitus (DM) has a systemic consequence, influencing many systems of the body, including metabolic functions. This study aimed to determine the prevalence of gastrointestinal complications among patients with type 2 DM in the Asser region of Saudi Arabia, identify sources of information, and investigate the association of these symptoms with disease duration and glycated hemoglobin. This cross-sectional study was conducted between November 13 and December 27, 2023. The questionnaire collected demographic data including age, sex, education, employment, income, and nationality, and 16 questions (5 points for each symptom) about the frequency of gastrointestinal symptoms in the past 3 months. The total score was 80, participants were categorized based on their total scores into 2 groups: those scoring 40 or below, and those scoring above 40. A total of 230 patients were included in this study, their median age was 32.0 (24.00) years, 60% were men, 63.9% were married, 38.7% earned between 5000 and 10,000 Saudi Riyal/month, 85.2% did not work in the medical field, 39.1% held university degrees, 54.8% did not have health insurance, 70.4% did not smoke, 35.7% worked in government jobs, 63% lived in urban areas, 95.2% were Saudi and 53.5% had only DM. More than half of the respondents, 57.4%, relied on doctors for information about DM. Dysmotility symptoms were common: dyspepsia affected 26.5% often and 5.7% always; early satiety impacted 24.3% often and 5.2% always; and bloating affected 28.3% often and 10.9% always. Constipation/diarrhea were a common complaint, with 23.5% of patients experiencing them often and an additional 4.8% reporting it always. Stool consistency also varied widely, with 21.7% experiencing lumpy or hardened stool. Health insurance status and having chronic diseases showed significant association with the severity of symptoms. Duration of diabetes and glycated hemoglobin were associated with the frequency of the symptoms. Gastrointestinal symptoms are common among diabetic patients in Aseer. The frequency of symptoms is associated with glycemic control, duration of diabetes, and health insurance status. These findings highlight the need for improved management and support for better gastrointestinal health in diabetes.
糖尿病（DM）具有全身性后果，影响身体的许多系统，包括代谢功能。本研究旨在确定沙特阿拉伯阿西尔地区 2 型糖尿病患者胃肠道并发症的患病率，确定信息来源，并调查这些症状与疾病持续时间和糖化血红蛋白的关系。这项横断面研究于 2023 年 11 月 13 日至 12 月 27 日进行。调查问卷收集了人口统计学数据，包括年龄、性别、教育程度、就业、收入和国籍，以及 16 个关于过去 3 个月胃肠道症状频率的问题（每个症状 5 分）。总分为 80 分，根据总分将参与者分为两组：得分 40 分或以下，得分 40 分以上。共有 230 名患者参与了这项研究，他们的中位年龄为 32.0（24.00）岁，60%是男性，63.9%已婚，38.7%每月收入在 5000 至 10000 沙特里亚尔之间，85.2%不在医疗领域工作，39.1%拥有大学学位，54.8%没有医疗保险，70.4%不吸烟，35.7%在政府部门工作，63%居住在城市地区，95.2%是沙特人，53.5%只有糖尿病。超过一半的受访者，57.4%，依靠医生获取有关糖尿病的信息。动力障碍症状很常见：消化不良影响 26.5%经常和 5.7%总是；早饱影响 24.3%经常和 5.2%总是；腹胀影响 28.3%经常和 10.9%总是。便秘/腹泻是常见的抱怨，23.5%的患者经常出现这种情况，另有 4.8%的患者总是出现这种情况。粪便稠度也有很大差异，21.7%的患者有块状或硬结的粪便。健康保险状况和患有慢性病与症状严重程度有显著关联。糖尿病持续时间和糖化血红蛋白与症状频率有关。胃肠道症状在阿西尔的糖尿病患者中很常见。症状的频率与血糖控制、糖尿病持续时间和健康保险状况有关。这些发现强调需要改善管理并为改善糖尿病患者的胃肠道健康提供支持。
