Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

THE REASON FOR COMPLICATIONS OF TYPE 2 DIABETES MELLITUS IN UNITED ARAB EMIRATES

Author

Elsheba Mathew, Jayakumary Muttappallymyalil, Jayadevan Sreedharan, Salwa Abdelzaher Mabrouk Ibrahim, Annamma Mathew

Institution

Gulf Medical University, Ajman, UAE

Abstract

Objectives: The present study explored factors responsible for complications of diabetes mellitus as observed in the clinical practice of doctors.

Methods: One hundred and seven practicing physicians and general practitioners from clinics and hospitals, identified using a snowballing technique starting with one physician in each emirate, participated in the cross sectional survey.

Results: Majority (81%) was males, and 62% were from clinics and 48% from hospitals; more than 50% had over 5 years of clinical experience in the UAE. Fifty eight percent of those practicing in clinics and 80.6% in hospitals felt they had the facilities required for monitoring the DM and complications. While 22.4% opined that the complications were due to poor glycemic control, 11.2% attributed it to sedentary life-style, 10% to smoking, 9.3% each to diet and co-morbidity, and 4.7% to obesity. Poor glycemic control was opined to be mainly due to low compliance (25.2%), life- style (18.7%), lack of awareness (14%) about the silent disease and its complications, finance (5.6%) and depression (0.9%). Of the 46 who responded, 57% felt complications were more among Asians, and 8% nationals. No age, gender or occupational difference was reported.

Conclusion: One third of the respondents attributed the complications to poor glycemic control mainly due to low compliance and lack of awareness and hence mostly preventable. Health service needs to organize nationwide campaign emphasizing diabetic care. Financial and social supports are likely to enhance compliance among the victims of this fast increasing slow epidemic.