EC Nutrition

Background: World Health Organization (WHO) estimates 8.3% of the world population are living with diabetes in the world with 4.7% of them living Africa. The global prevalence of people with diabetes is increasing with similar trend of increment of cases in Africa including Ethiopia. Such information is however limited where the study was done and therefore, we assessed the magnitude of the problem and predictors of chronic complications among patients that had a follow up at Harar governmental Hospital diabetic clinic.

Methods: A facility based cross-sectional study was conducted among diabetic patients attending the diabetic clinic of Harar governmental referral Hospital from May 1 to 31, 2021. All diabetic patients who visited the clinic during the study period were included. Data were collected from all patients using interview guided tools and chart review. The data were then cleaned, coded, and entered into SPSS for windows version 17.0 for analysis. Binary logistic regression model was employed to identify the prediction of diabetic complication. A 5% significance level was used for the inferential statistics to guide statistical significance with 95%CI of the crude and adjusted odds ratio. The final model fitness was tested using Omnibus Tests of Model Coefficients and Hosmer and Lemeshow Test.

Result: A total of 214 participants were included in this study. The mean age of participants was 54.5 +/-(9.5) years. Less than half (47.3%) were in the age group of 41 to 60 years. Nearly one-third (31,0%) of them had one or more chronic complications. Duration of diabetes of 10 years or more (AOR = 0.20; 95%Cl = 0.098 - 0.438), had history of hypertension (AOR = 0.20; 95% Cl = 0.093 - 0.431) and cigarettes smoking (AOR = 0.27; 95%Cl = 0.095 - 0.810) where the major predictors of chronic complications. Whereas age, family history of DM, BMI status had no association with the presence of complication in our assessment.

Conclusion: Almost one in three of the study participants had chronic complications of diabetes. To reduce the issue under caption and achieve good glycemic control, targeting the aforementioned predictors through appropriate life style changes, early detection and treatment of Diabetes is recommended.

Keywords: Diabetic Complications; Magnitude; Association Factor; Harar Regional Hospital; East Ethiopia

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