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<Articles><Article><Journal><PublisherName></PublisherName><JournalTitle>Journal of Diabetes and Metabolic Disorders</JournalTitle><Volume>3</Volume><Issue>0</Issue></Journal><ArticleTitle>THE INCIDENCE OF CHRONIC DIABETIC COMPLICATIONS DURING A 12 YEARS PERIOD IN PATIENTS REFERRING TO CLINICS OF SHIRAZ UNIVERSITY OF MEDICAL SCIENCES.</ArticleTitle><FirstPage>42</FirstPage><LastPage>42</LastPage><AuthorList><Author><FirstName>Gholam Hossein</FirstName><LastName>Ranjbar Omrani</LastName></Author><Author><FirstName>Mahmood</FirstName><LastName>Soveid</LastName></Author><Author><FirstName>Hassan</FirstName><LastName>Rajaii</LastName></Author><Author><FirstName>Abdo Assamd</FirstName><LastName>Sadegholvaad</LastName></Author></AuthorList><History><PubDate PubStatus="received"><Year>2015</Year><Month>10</Month><Day>05</Day></PubDate></History><Abstract>Background: Chronic complications of diabetes causes substantial mortality and morbidity.&amp;nbsp; The incidence and rate of progression of these complications depends on ethnic factors.&amp;nbsp; The aim of this study was to investigate the incidence of late complications of diabetes and its relation to blood glucose control in a group of diabetic patients from South of Iran.
Methods:&amp;nbsp; In this retrospective study, medical records of all diabetic patients who were followed regularly during a 12 year period at outpatient clinics of Shiraz University of Medical Sciences were investigated.&amp;nbsp; Information regarding age, sex, type of diabetes, duration of disease , mean fasting and postprandial blood sugar, complications (eye, kidneys, peripheral nerves, foot, cardiovascular, cerebrovascular), and timing of complications with regard to duration of disease were collected.&amp;nbsp; Results:&amp;nbsp; The study population included 392 patients (205 males and 186 females), 300 patients had type 2 and 92 had type 1 diabetes.&amp;nbsp; The mean age at diagnosis was 20.4&amp;plusmn;12.8 years for type 1 and 47.5&amp;plusmn;10.4 years for type 2 patients. 95% of patients developed at least one chronic complication during the follow-up period.&amp;nbsp; The incidence rates of eye , renal, and peripheral nerve complications were 51.5, 44.7, and 68.8 percent respectively.&amp;nbsp; Diabetic foot problems occurred in 16.8 percent of cases and it led to amputation in 8.4 percent (33 cases) of patients.&amp;nbsp; The incidence rates of cardiovascular and cerebrovascular complications were 49.7 and 15.3 percent respectively.&amp;nbsp; The development of eye, renal, and peripheral nerve complications was related to blood sugar control.
Conclusion:&amp;nbsp; Our diabetic patients developed chronic complications early and at a higher than expected rates.&amp;nbsp; Future studies and more emphasis on prevention methods are recommended.</Abstract><web_url>https://jdmd.tums.ac.ir/index.php/jdmd/article/view/42</web_url></Article></Articles>
