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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Profile of Canadian adults with type 2 diabetes mellitus and factors associated with diabetes-related complications

Castellano, Kimberly 11 1900 (has links)
Objectives: To describe the profile of Canadian adults with type 2 diabetes mellitus (T2DM), examine the prevalence of diabetes-related complications and investigate the factors associated with having common diabetes-related complications. Methods: Self-reported data from Statistics Canada’s 2011 Survey on Living with Chronic Diseases in Canada (SLCDC) – Diabetes component were available to describe the prevalence of T2DM, related complications and co-morbidities. Associations with diabetes-related complications were evaluated using logistic regression models. Survey weights and bootstrapping resampling method were applied to account for the complex survey design. Results: 2,341 T2DM respondents (weighted Canadian population estimate n=1,365,165) had a mean age of 62.9 years and diabetes duration of 10.6 years. The prevalence of diabetes-related complications and comorbidities were high: eye (34.0%), foot or leg (24.4%), cardiovascular (22.6%), renal (15.7%), neuropathy (10.8%), hypertension (68.4%) and high cholesterol (67.2%). Factors associated with diabetes-related complications were: Eye: > 65 years of age (odds ratio [OR] 3.7, 95% CI 2.4 – 5.5, p=<0.0001); household income < $29,999 (OR 1.9, 95% CI 1.1 – 3.2, p=0.01), diabetes duration > 10 years (OR 2.3, 95% CI 1.6 – 3.5, p<0.001), cardiovascular complications (OR 1.8, 95% CI 1.1 – 2.9, p=0.01). Renal: duration of diabetes 6 – 9 years (OR 3.0, 95% CI 1.4 – 6.3, p=0.02), duration of diabetes > 10 years (OR 2.1, 95% CI 1.1 – 3.9, p=0.04) Cardiovascular: male sex (OR 1.9, 95% CI 1.3 – 2.7, p=0.0006), eye complication (OR 1.9, 95% CI 1.2 – 3.0, p=0.007), foot or leg complication (OR 2.0, 95% CI 1.3 – 3.0, p=0.002). Foot or leg: cardiovascular complication (OR 2.0, 95% CI 1.4 – 3.1, p=0.0006). Neuropathy: household income $30,000 - $59,999 (OR 2.1, 95% CI 1.2 – 3.9, p=0.03); duration of diabetes >10 years (OR 1.9, 95% CI 1.1 – 3.8, p=0.01), foot or leg complication (OR 7.0, 95% CI 4.1 – 11.8, p<0.0001), eye complication (OR 2.0, 95% CI 1.1 – 3.7, p=0.006). Conclusions: The presence of diabetes-related complications among Canadians with T2DM is multifactorial. / Thesis / Master of Science (MSc)

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