Knowledge of Diabetic Complications and Practice of Routine Medical Check-up among Type 2 Diabetics in Nigeria
Ogunleye Adeyemi *
Department of Medical Laboratory, Kidney Care Centre, Ondo, Ondo State, Nigeria.
T. Famakinwa Timothy
Department of Nursing, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Daomi Victoria Oluwanimodimu
Department of Medical Laboratory, Kidney Care Centre, Ondo, Ondo State, Nigeria.
T. Oluwafemi Tosin
Department of Medical Laboratory, Kidney Care Centre, Ondo, Ondo State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Awareness about possible complications and regular medical check-up are essential for prevention, early detection and treatment of diabetic complications. Data on a pattern of health check among individuals with diabetes mellitus (DM) is scarce; thus we aimed to assess the practice of routine medical check-up.
Methods: A total of 105 individuals with type 2 DM attending a diabetic clinic at the State Specialist Hospital Ondo, Ondo state, Nigeria, participated in this descriptive, cross-sectional study. Participants were interviewed using a pre-tested structured questionnaire to assess knowledge and self-declared practice of routine medical check-up. Data analysed using SPSS version 21, were significant at p<0.05.
Results: Participants were aged 56±9.9 years with a male to female ratio of 1:1.5 and DM 6.7±7.1 years. 90.5% of the participants were aware of possible DM complications.
Specific knowledge about the diabetic foot was highest with 90.5% having good knowledge. 84.8%, 79.0%, and 61.9% of participants also demonstrated good understanding of retinopathy, neuropathy and cardiac complications while participants’ knowledge of cerebral damage, erectile dysfunction and nephropathy were inadequate in 61.9%, 63.8% and 60% respectively.
All participants had their blood pressure checked regularly while only 36.2% (38) ever had other routine medical check-ups. Among these, 25.7% (27) tested their eyes, while 11.4% (12) have checked kidney functions at least once, out of which only 7.6% (8) verified within the last one year.
Neither duration nor participants’ knowledge of DM complications correlated with routine check-up (p=0.313).
Conclusion: The practice of regular medical check-up was poor among type 2 DM, and this may be associated with inadequate knowledge about specific diabetic complications. Awareness should be increased on diabetic complications and need for routine evaluation among type2 DM patients.
Keywords: Diabetes mellitus, diabetic complications, medical check-up, knowledge.