Risk factors associated with retinopathy in young people with type 1 diabetes in Bangladesh. Issue 2 (17th December 2020)

• Record Type: Journal Article
• Authors: Zabeen, Bedowra; Khaled, Mohammad Zafar; Husain, Lutful; Aktar, Asma; Huda, Kamrul; Kamal, Yeasmin Afroz; Choudhury, Nujhat; Azad, Kishwar
• Is Part Of: Endocrinology, diabetes & metabolism. Volume 4:Issue 2(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-12-17
• Subjects: Bangladesh -- retinopathy -- risk factors -- type 1 diabetes; Endocrinology -- Periodicals; Diabetes -- Periodicals; Metabolism -- Periodicals; 616.4
• DOI: 10.1002/edm2.197
• Languages: English
• ISSNs: 2398-9238

Abstract

Abstract: Objectives: Diabetic retinopathy (DR) is the most common microvascular complications seen in children and adolescents with type 1 diabetes. The aim of this study was to evaluate the prevalence of retinopathy and its association with other risk factors in young people with type 1 diabetes. Methods: This study was a cross‐sectional study, which was done as part of the ongoing complication assessment in the paediatric diabetes clinic in BIRDEM (Bangladesh Institute of Research and Rehabilitation of Diabetes Endocrine and Metabolic Disorders), a tertiary care hospital. Children, adolescents and young adults with type 1 diabetes who were having diabetes duration >2 years were included in this study. Retinopathy was detected using fundal photography, and grading was done by National Screening Committee of UK by trained ophthalmologists. Results: Diabetic retinopathy was observed in 44 (6.6%) patients. Majority (95.4%) of them had early diabetic retinopathy in the form of mild NPDR (nonproliferative diabetic retinopathy) (R1). Patients with retinopathy had higher HbA1c 9.6[8.4‐12.3] vs 9.1 [7.9‐10.8] ( P = .013), longer duration of diabetes 7.6 [5.5‐10.7] vs 6.0 [4.5‐8.2] years ( P = .001) and were older 21.5 [18.0‐23.0] vs 18 [16.0‐21.0] years ( P = .0001) compared with those without retinopathy. On multivariate regression analysis, higher age and median HbA1c were significantly associated with DR. Conclusions: Higher HbA1c was the only modifiable risk factor for development of DR in our study population. Early detection of DR with improvement of glycaemic control may reduce the risk of progression of severe stages of the disease. Abstract : The aim of this study was to investigate the prevalence and risk factors associated with, retinopathy in Youth with type 1 diabetes in Bangladesh. Diabetic retinopathy was observed in 44 (6.6%) patients. Majority 42 (95.4%) of them had early diabetic retinopathy mild NPDR (R1).