Prevalence of Type 1 and Type 2 Diabetes-Related Complications and Their Association With Determinants Identified in Canada's Survey on Living With Chronic Diseases-Diabetes Component

Can J Diabetes. 2020 Jun;44(4):304-311.e3. doi: 10.1016/j.jcjd.2019.09.001. Epub 2019 Sep 24.

Abstract

Objectives: In this study, we estimated the prevalence of diabetes-related complications and the factors associated with them in Canadian patients with diabetes.

Methods: Data from the 2011 Survey on Living with Chronic Diseases in Canada---Diabetes Component (SLCDC-DM-2011) were used to calculate the weighted prevalence of 16 diabetes-related complications. A multivariable, sex-stratified logistic regression model was used to examine the association between each diabetes-related complication and select determinants.

Results: Among Canadian patients who self-reported having diabetes, 80.26% reported having at least 1 type of diabetes-related complication. The most frequently reported complications were high blood pressure (54.65%), cataracts (29.52%) and poor circulation (21.68%). Male patients were more associated to have at least 1 complication if they had an inappropriate body mass index (odds ratio [OR], 2.94; 95% confidence interval [CI], 1.39 to 6.23) and had a high level of glycated hemoglobin (OR, 2.32; 95% CI, 1.05 to 5.13), were older (OR, 6.92; 95% CI, 1.82 to 24.74) and had diabetes for a longer period of time (OR, 3.42; 95% CI, 1.71 to 6.85). Among the female patients, a longer duration diabetes was found to have a significant association with complications (OR, 2.00; 95% CI, 1.05 to 3.81).

Conclusions: Our findings suggest that socioeconomic factors, including marital status, income and education, have a significant association with most types of complications. Our findings also confirm that low levels of physical activity and high levels of glycated hemoglobin were major determinants in many diabetes-related complications.

Keywords: Canada; EPMCC; SLCDC; complications du diabète; diabetes-related complications; logistic regression; régression logistique.

MeSH terms

  • Adult
  • Aged
  • Biomarkers / blood*
  • Blood Glucose / analysis
  • Canada / epidemiology
  • Chronic Disease
  • Cross-Sectional Studies
  • Diabetes Complications / blood
  • Diabetes Complications / epidemiology*
  • Diabetes Complications / etiology
  • Diabetes Complications / pathology
  • Diabetes Mellitus, Type 1 / complications*
  • Diabetes Mellitus, Type 2 / complications*
  • Female
  • Follow-Up Studies
  • Glycated Hemoglobin / analysis
  • Humans
  • Hypertension / complications*
  • Male
  • Middle Aged
  • Prevalence
  • Prognosis
  • Risk Factors
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Biomarkers
  • Blood Glucose
  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human