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Complications of type 2 diabetes mellitus in Ramallah and al-Bireh: The Palestinian Diabetes Complications and Control Study (PDCCS)
Dalarna University, School of Education, Health and Social Studies, Medical Science.ORCID iD: 0000-0001-6549-1611
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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. © 2018 Primary Care Diabetes Europe

Place, publisher, year, edition, pages
Elsevier Ltd , 2018. Vol. 12, no 6, p. 547-557
Keywords [en]
Adult, Arabs, Biomarkers, Blood Glucose, Comorbidity, Cross-Sectional Studies, Diabetes Complications, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin A, Humans, Male, Middle Aged, Middle East, Prevalence, Risk Factors, Young Adult, anticoagulant agent, antidiabetic agent, antihypertensive agent, antilipemic agent, cardiac agent, hemoglobin A1c, insulin, biological marker, glycosylated hemoglobin, hemoglobin A1c protein, human, Article, cerebrovascular accident, controlled study, coronary artery disease, cross-sectional study, diabetic complication, diabetic nephropathy, diabetic neuropathy, disease duration, glycemic control, human, laboratory test, major clinical study, non insulin dependent diabetes mellitus, Palestinian, peripheral vascular disease, physical examination, priority journal, risk factor, Arab, blood, epidemiology, ethnology, glucose blood level, metabolism, Macrovascular complications, Microvascular complications, Primary health care clinics, Type 2 diabetes
National Category
Endocrinology and Diabetes
Research subject
Research Profiles 2009-2020, Health and Welfare
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URN: urn:nbn:se:du-41118DOI: 10.1016/j.pcd.2018.07.002ISI: 000452344100009Scopus ID: 2-s2.0-85050696238OAI: oai:DiVA.org:du-41118DiVA, id: diva2:1647188
Available from: 2022-03-25 Created: 2022-03-25 Last updated: 2023-01-17Bibliographically approved

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Jerdén, Lars

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