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Early Onset Type 2 Diabetes and Associated Risk Factors

Thesis Info

Author

Kiraka, Grace Nyambura

Department

Pathology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2013

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728045591

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Background: The incidence of type 2 diabetes in patients below the age of 40 (early onset diabetes) is markedly on the rise and has been linked increased prevalence of risk factors such as the metabolic syndrome and family history of diabetes. Objective: To determine the proportion of patients with type 2 diabetes at Aga Khan University Hospital Nairobi (AKUHN) who have early onset type 2 diabetes and the association of age of onset with risk factors (family history of diabetes, obesity, waist circumference, hypertension, low HDL cholesterol and hypertriglyceridaemia) in this group of patients. Methods: This was a cross sectional study. All adult patients with type 2 diabetes presenting to the AKUHN diabetic clinic from 1 February to 30 April 2012 who consented to participate were included. A data collection form was completed documenting patient demographics, anthropometric measurements and fasting lipid profile. Results: A total of 140 patients were recruited. Males comprised 59.3%. Mean age at diagnosis was 48.1 years. The proportion of patients with early onset Diabetes was 24% (95%CI 17%-31%). Patients with early onset diabetes were more likely to have a relative with diabetes compared to the usual onset group (OR 3.58; p< 0.009). There was a positive association with early onset diabetes and having a first degree relative with diabetes (OR 3.92; P<0.007) and having two relatives with diabetes (OR 5.11; P<0.017). Patients with early onset diabetes were more likely to have hypertriglyceridaemia (OR 1.82; p<0.187). This study did not find a positive association with early onset of diabetes and abdominal obesity (OR 0.74; P<0.600), hypertension (OR 0.3; P<0.004), abnormal BMI (OR 0.61; P<0.448) or low HDl-Cholesterol (OR 1.01; P<0.982). Conclusion: There is a high proportion of early onset type 2 diabetes in this study population which was associated with having a family history of diabetes, a first degree relative with diabetes and more than one diabetic relative.
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