Diabetics Retinopathy Knowledge and Awareness Assessment among the Type 2 Diabetics
DOI:
https://doi.org/10.3889/oamjms.2018.121Keywords:
DR, Diabetes Retinopathy, Awareness, Type 2 DiabetesAbstract
INTRODUCTION: Diabetic retinopathy (DR) is a leading cause of blindness worldwide. In Saudi Arabia and other Arab countries, several studies estimated the prevalence of DR ranging from 30 - 40%.
AIM: To assess the DR knowledge and its association with diabetes control among Type 2 diabetic patients.
METHODS: A cross-sectional study of patients with Type II diabetes (T2D) who had a routine visit to the endocrine clinic to assess the DR knowledge and its relation to the glycemic control. We used a questionnaire that was used in previously published studies, and the reliability was assessed using the alpha Cronbach coefficient. Patients who answered correctly > 60% were considered to have good knowledge about DR.
RESULTS: Total of 253 patients participated, 43.4% has diabetes > 10 years and 30.7% have it for 5 - 10 years, 36.4% did college degree or higher, 40.8% considered having low income. 37.7% of participants were not screened for the DR in the past year. 28.4% of participants think that seeing optometrist is enough for DR diagnosis. Diabetics with good knowledge who have T2D > 10 years were 46.3% compared to 38.6% (p = 0.04). Diabetics with good knowledge have mean A1c of 8.55 vs. 8.59 (p = 0.32), mean BMI 30.4 vs. 30.2 (p = 0.46), mean diastolic pressure was 77.12% vs. 79.48% (p = 0.03).
CONCLUSION: Almost two-thirds of screened T2D were considered to have good knowledge about DR. The good knowledge group tends to have a longer duration of T2D, more likely to have a college degree, and tend to have non -significantly better A1c control.
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References
Prevention of blindness from diabetes mellitus, WHO, Editor, WHO press, 2006:48.
Klein R, Klein BE, Jensen SC, Moss SE. The relation of socioeconomic factors to the incidence of proliferative diabetic retinopathy and loss of vision. Ophthalmology. 1994; 101(1): p. 68-76. https://doi.org/10.1016/S0161-6420(94)31354-6
Gibson DM. Diabetic retinopathy and age-related macular degeneration in the US. American journal of preventive medicine. 2012; 43(1):48-54. https://doi.org/10.1016/j.amepre.2012.02.028 PMid:22704745
Varma R, Mohanty SA, Deneen J, Wu J, Azen SP. Burden and predictors of undetected eye disease in Mexican-Americans: the Los Angeles Latino Eye Study. Med Care. 2008; 46(5):497-506. https://doi.org/10.1097/MLR.0b013e31816080fe PMid:18438198 PMCid:PMC5705196
Addoor KR, Bhandary SV, Khanna R, Rao LG, Lingam KD, Binu VS, Shivaji S, Nandannaver M. Assessment of awareness of diabetic retinopathy among the diabetics attending the peripheral diabetic clinics in Melaka, Malaysia. Med J Malaysia. 2011; 66(1):48-52. PMid:23765143
Yau JW, Rogers SL, Kawasaki R, Lamoureux EL, Kowalski JW, Bek T, et al. Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care. 2012; 35(3): 556-64. https://doi.org/10.2337/dc11-1909 PMid:22301125 PMCid:PMC3322721
Khan AR, Wiseberg JA, Lateef ZA, Khan SA. Prevalence and determinants of diabetic retinopathy in Al hasa region of saudi arabia: primary health care centre based cross-sectional survey, 2007-2009. Middle East Afr J Ophthalmol. 2010; 17(3): 257-63. https://doi.org/10.4103/0974-9233.65502 PMid:20844683 PMCid:PMC2934719
Al-Nozha MM, Al-Maatouq MA, Al-Mazrou YY, Al-Harthi SS, Arafah MR, Khalil MZ, Khan NB, Al-Khadra A, Al-Marzouki K, Nouh MS, Abdullah M. Diabetes mellitus in Saudi Arabia. Saudi medical journal. 2004; 25(11):1603-10. PMid:15573186
Al-Rubeaan K, Al-Manaa H, Khoja T, Ahmad N, Al-Sharqawi A, Siddiqui K, AlNaqeb D, Aburisheh K, Youssef A, Al Ghamdia A. The Saudi abnormal glucose metabolism and diabetes impact study (SAUDI-DM). Annals of Saudi medicine. 2014; 34(6):465. https://doi.org/10.5144/0256-4947.2014.465 PMid:25971818
Alghadyan AA. Diabetic retinopathy – An update. Saudi Journal of Ophthalmology. 2011; 25(2): 99-111. https://doi.org/10.1016/j.sjopt.2011.01.009 PMid:23960911 PMCid:PMC3729572
Bragge P, Gruen RL, Chau M, Forbes A, Taylor HR. Screening for presence or absence of diabetic retinopathy: a meta-analysis. Archives of Ophthalmology. 2011; 129(4):435-44. https://doi.org/10.1001/archophthalmol.2010.319 PMid:21149748
Hajar S, Hazmi AA, Wasli M, Mousa A, Rabiu M. Prevalence and causes of blindness and diabetic retinopathy in Southern Saudi Arabia. Saudi Medical Journal. 2015; 36(4): 449-455. https://doi.org/10.15537/smj.2015.4.10371 PMid:25828282 PMCid:PMC4404479
Rabiu MM, Al Bdour MD, Abu Ameerh MA, Jadoon MZ. Prevalence of blindness and diabetic retinopathy in northern Jordan. Eur J Ophthalmol. 2015; 25(4): 320-7. https://doi.org/10.5301/ejo.5000557 PMid:25684158
Rani PK, Raman R, Subramani S, Perumal G, Kumaramanickavel G, Sharma T. Knowledge of diabetes and diabetic retinopathy among rural populations in India, and the influence of knowledge of diabetic retinopathy on attitude and practice. Rural Remote Health. 2008; 8(3): 24.
Khan AR, Wiseberg JA, Lateef ZAA, Khan SA. Prevalence and Determinants of Diabetic Retinopathy in Al Hasa Region of Saudi Arabia: Primary Health Care Centre Based Cross-Sectional Survey, 2007–2009. Middle East Afr J Ophthalmol. 2010; 17(3): 257-263. https://doi.org/10.4103/0974-9233.65502 PMid:20844683 PMCid:PMC2934719
Amir AH, Jadoon MZ, Zeb S, Sabir S. Awareness diabetic retinopathy amongst known diabetics. Journal of Postgraduate Medical Institute (Peshawar-Pakistan). 2011; 21(1).
Çetin EN, Zencir M, Fenkçi S, Akın F, Yıldırım C. Assessment of awareness of diabetic retinopathy and utilization of eye care services among Turkish diabetic patients. Primary care diabetes. 2013; 7(4):297-302. https://doi.org/10.1016/j.pcd.2013.04.002 PMid:23639610
Funatsu H, Hori S, Shimizu E, Nakamura S. Questionnaire survey on periodic ocular examination in Japanese diabetic patients. Am J Ophthalmol. 2003; 136(5): 955-7. https://doi.org/10.1016/S0002-9394(03)00542-7
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