• Ешқандай Нәтиже Табылған Жоқ


In document «Quality Management: (бет 61-69)


Bnouham 1 Abderrahim Ziyyat 1

6. Conclusion

diabetes foot complications probably resulted from the good accompaniment and education of the patients by health professionals of (RCD) in the long- term follow-up of their disease.

Our analysis has showed that age, diabetes duration and a high level of albuminuria were the principal risk factors associated with development of diabetes complications in both T1D and T2D. These findings are consistent with other reports [70]-[77] showing that the risk of developing these complications is positively associated with these variables.

This retrospective study confirms previously reported trends in the relationship between hypertension and diabetes complications [72] [75]. We have found that hypertension in patients with type 1 and type 2 diabetes was significantly (P < 0.001) associated with development of complications.

Furthermore, this association persists after multivariate logistic regression analysis in type 2 diabetes (OR = 1.56; 95% CI: 1.26 - 1.92, P < 0.001).

Consistent with foregoing studies [78] [79], we have found that lower levels of education are significantly (P < 0.01) associated with an increased rate of complications in T1D patients and a higher level of education had a protective effect against diabetic complications in these patients. In the same context, researchers evaluating the relationship between socioeconomic status and diabetic complications indicated that the incidences over 1 to 20 years’ follow-up of end-stage renal disease and coronary artery disease were two to three times greater for T1D individuals with lower level of education, compared to those with higher one [79].

In this paper, the risk of each micro and macrovascular complications of T2D is statistically associated with high HbA1c (P < 0.001). 33.1% of patients with T2D who have complications, have a poor glycemic control (HbA1c > 7%). This result as others [80] [81] [82] has demonstrated that an improved glyceamic control can reduce the incidence and the risk of micro and macrovascular complications in these people.

There is evidence that overweight and obesity are associated with an increased risk of mortality, cardiovascular diseases, and diabetes [12] [83].

Our study has confirmed this data and found overweight and obesity to be strongly associated (P < 0.001) with an increased risk for diabetes complications in patients with T1D.


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04. Professional Stress Factor of Vulnerability in Which Has Occurred

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