title: Complications in Advanced Diabetics in a Tertiary Care Centre: A Retrospective Registry-Based Study.
abstract: BACKGROUND
  Diabetes is a major public health problem in our country and complications of diabetes are a major cause of morbidity and mortality. There is a need to quantify the complications in order to improve our strategies for prevention and management.
  
  
  OBJECTIVE
  To measure the prevalence of complications in type 2 diabetics following up at a tertiary care centre and to study its association with the socio-demographic and clinical parameters.
  
  
  METHODS
  A retrospective record based study was conducted on 3261 type 2 diabetic patients on insulin therapy, recorded in the diabetic registry maintained at Goa Medical College from Aug 2009 to May 2012. Data on anthropometric measurements, demographic characteristics, complications and other details were extracted from these records.
  
  
  RESULTS
  Out of the 3261 patients 1025 (31.4%) had macrovascular complications and 1122 (34.4%) had at least one microvascular complication. The prevalence of peripheral vascular disease, coronary artery disease and stroke were 6.7%, 21.3% and 6.6% respectively and were significantly higher in males. The prevalence of diabetic retinopathy, nephropathy and neuropathy were 16.7%, 16.5% and 16.3% respectively with diabetic nephropathy being significantly higher in males. Trend analysis showed significant association of rising prevalence of all complications with age (p<0.05). Duration of diabetes also showed significantly positive trend for all complications (p<0.05) except stroke.
  
  
  CONCLUSIONS
  The study presents the prevalence of diabetic complications in patients reporting to a tertiary hospital in Goa. Coronary artery disease was found to be the most common complication. As age and duration of diabetes were found to be significantly associated, efforts should be made towards promoting earlier diagnosis of diabetes so as to improve management and decrease the chances of complications.
authors.affiliation: Project Co-ordinator, Goa Medical College , Bambolim, Goa, India .
authors.lastname: Ankush
authors.affiliation: Assistant Professor, Department of Preventive and Social Medicine, Goa Medical College , Bambolim, Goa, India .
authors.forename: Amit
authors.initials: A
authors.lastname: Dias
authors.affiliation: Professor and Head, Department of Medicine, Goa Medical College , Bambolim, Goa, India .
authors.forename: Edwin
authors.initials: E
authors.lastname: Gomes
authors.affiliation: Consultant Endocrinologist, Department of Medicine, Goa Medical College , Bambolim, Goa, India .
authors.forename: Ankush
authors.initials: A
authors.lastname: Dessai
keywords: Diabetes mellitus; India; Registry