Profile and analysis of diabetes chronic complications in Outpatient Diabetes Clinic of Cipto Mangunkusumo Hospital, Jakarta
Abstract: Chronic
complications of diabetes mellitus have a significant role in increasing
morbidity, mortality, disability, and health cost. In the outpatient setting,
the availability of data regarding to the chronic complications of type 2
diabetes is useful for evaluation of prevention, education, and patient’s
treatment. This study aimed to describe the characteristic of type 2 diabetes
chronic complications in outpatient diabetes clinic.
Methods: A cross-sectional study was done using 155 patients in
Outpatient Diabetes Clinic of Cipto Mangunkusumo Hospital (RSCM), Jakarta in
2010. Secondary data were used from medical record based on history taking,
physical examination, diabetic foot assessment, laboratory, neurologic,
cardiology, opthalmology, ankle brachial index, and electrography of the
patients. Characteristic profiles of the subjects, prevalence of the chronic
complications, and its association with diabetes risk factors, such as glycemic
control using HbA1c, fasting blood glucose, duration of diabetes, and LDL
cholesterol were analyzed using chi square test.
Results: Among 155 subjects participated in the study, most of them were
women (59%) and elderly (46%). The prevalence of diabetes chronic complications
was 69% from all subjects. These chronic complications included
microangiopathy, macroangiopathy and mixed complications, with prevalence of
56%, 7% and 27% respectively. Microangiopathy included nephropathy (2%),
retinopathy (7%), neuropathy (38%) and mixed complications (53%).
Macroangiopathy included coronary heart disease (46%), peripheral arterial disease
(19%), stroke (18%), and mixed complication (17%). From the analysis, we found
significant association between duration of diabetes and diabetic neuropathy (p
= 0.003).
Conclusion: Prevalence of diabetes chronic complications in Outpatient
Diabetes Clinic of Cipto Mangunkusumo Hospital, mainly dominated by
microvascular-related complications including nephropathy, retinopathy,
neuropathy and mixed complications. There was statistical significance between
diabetes duration and diabetic neuropathy.
Keywords: diabetes chronic
complications; diabetic neuropathy; macrovascular; microvascular; type 2
diabetes
Author: ri J.E. Tarigan, Em
Yunir, Imam Subekti, Laurentius A. Pramono, Diah Martina
Journal Code: jpkedokterangg150233
