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Magnitude and associated factors of undiagnosed diabetes mellitus among mid-adulthood urban residents of West Ethiopia
Abstract
Introduction: People are more likely to die due to biological impairment than chronological aging. Diabetes is a public health problem, whereby diagnosing proves challenging for health providers. Likewise, the prevalence of undiagnosed diabetes in west Ethiopia is unnoticed.
Aim: To investigate the magnitude and associated factors of undiagnosed diabetes mellitus among middle aged adult urban populations in west Ethiopia.
Methods: A community based cross-sectional study was conducted from 01 March 2019 -August 2019 on 266 undiagnosed middle aged urban residents. Data was collected using questionnaires, anthropometric measurements, and biomarkers as per WHO steps. Fasting blood glucose ≥ 126mg/dl in the morning was taken as diabetes and FBS>100-125mg/dl, pre-diabetes (impaired FBS). SPSS version 24 multivariable logistic regression analysis was applied, and associated factors were considered statistically significant at 95%CI with p <0.05.
Results: The overall magnitude of newly diagnosed raised fasting blood sugar was 7.14% among urban residents in west Ethiopia. Of this, 2.25% was had diabetes and the remaining 4.89 % was pre-diabetes. Having a sleep disorder, sedentary lifestyle, increased: waist circumference, waist to height ratio, BMI, triglycerides, and blood pressure were significantly associated with elevated fasting blood glucose. On multivariable logistic analysis, having a high BMI and elevated blood pressure were four (AOR: 4.87; p=0.049), and five (AOR: 5.22; p=0.005) times more associated with diabetes mellitus, respectively. Sleep apnea (p=0.023) was also shown to have significant association with diabetes.
Conclusions: This study revealed undiagnosed diabetes was prevalent and associated to common risk factors in west Ethiopia. Therefore, age targeted community-based education and early detection are significant to reduce its burden.
