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The Magnitude of Diabetes Mellitus in Adult Hypertensive Patients in Northeast Ethiopia

Authors Wuhib Shumye M, Tegegne B, Ademe S, Workneh M, Abera M, Nemera G, Balcha F

Received 21 September 2020

Accepted for publication 24 December 2020

Published 6 January 2021 Volume 2021:14 Pages 37—45

DOI https://doi.org/10.2147/DMSO.S283158

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Prof. Dr. Juei-Tang Cheng


Mekuriaw Wuhib Shumye,1 Belachew Tegegne,1 Sewunet Ademe,1 Moges Workneh,1 Million Abera,2 Gugsa Nemera,2 Fikadu Balcha2

1School of Nursing and Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia; 2School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia

Correspondence: Mekuriaw Wuhib Shumye Tel +251 92 126 8193
Email eyasuwuhib@gmail.com

Background: Hypertension and diabetes mellitus are the most common comorbid non-communicable chronic diseases that threaten human beings worldwide. Hypertension is associated with an increased risk of diabetes mellitus and vis-a-vis. However, there is limited information on the magnitude of diabetes mellitus in hypertensive patients in sub-Saharan countries. Hence, this study assessed the magnitude of diabetes mellitus and its associated factors among adult hypertensive patients attending a hypertension clinic in Northeast Ethiopia.
Methods: Institution-based cross-sectional study conducted on 407 participants from April to June 2019. The participants were included in the study using systematic random sampling. Data were collected using the WHO STEPwise method. We run descriptive statistics to determine the magnitude of diabetes mellitus in hypertensive patients and logistic regression to identify factors associated with diabetes, and statistically significant associations were declared at a P-value of less than 0.05.
Results: The magnitude of diabetes mellitus among hypertensive patients was 29.1%, of whom 24% were newly diagnosed. Respondents with a family history of diabetes mellitus (AOR: 4.6, CI: 2.2, 9.48), increased waist-to-height ratio (AOR: 21.5, CI: 5.62,43.67), increased waist circumference (AOR: 3.2, CI: 1.58, 6.53) and primary school educational status (AOR: 3.2, CI: 1.41, 7.25) were more likely to have diabetes. Similarly, respondents with longer hypertension duration (AOR: 4.09, CI: 1.22, 13.64), past daily smoking history (AOR: 10.46, CI: 1.59,6.8), increased diastolic blood pressure (AOR: 4.15, CI: 1.51, 11.37), and increased waist circumference (AOR: 7.5, CI: 4.47,14.95) were more likely to be diagnosed newly for diabetes.
Conclusion: Our study indicated around one-third of hypertensive patients had diabetes. Family history of diabetes mellitus, primary educational status and increased waist-to-height ratio and waist circumference were significant predictors of diabetes among hypertensive patients. The finding suggests the need for regular diabetic screening among hypertensive patients.

Keywords: magnitude, hypertension, diabetes mellitus, Ethiopia

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