
Original
Prevalence and Determinants of Type-2 Diabetes Mellitus in Selected Diabetes Centers of Coastal Bangladesh
*Rabeya S,1 Jharna DE,2 Muttalib MA,3 Uddin ME,4 Mehnaz F,5 Sarkar MRA6
- *Dr. Sultana Rabeya, MBBS, MPhil (Biochemistry, MMC), PhD Fellow, Department of Biochemistry and Molecular Biology, Patuakhali Science and Technology University, Patuakhali- 8660, Bangladesh. src762001@yahoo.com. ORCID: https://orcid.org/0009-0009-6153-1079.
- Professor Dr. Dilruba Easmin Jharna, PhD, Professor of Biochemistry and Molecular Biology, Patuakhali Science and Technology University, Patuakhali- 8660, Bangladesh, jharnabcm@pstu.ac.bd. ORCID:https://orcid.org/0009-0006-5574-4623
- Professor Dr. Mohammed Abdul Muttalib, MBBS, MPhil (Biochemistry), Ex-Professor & Head, Biochemistry, Mymensingh Medical College and Ex-Director, Laboratory Services, BIRDEM, dramuttalib007@gmail.com. ORCID:https://orcid.org/0009-0002-2206-047X
- Professor Md. Ektear Uddin. PhD, Professor of Agricultural Extension and Rural Development, Patuakhali Science and Technology University Dumki, Patuakhali- 8660, Bangladesh Email: ektear@pstu.ac.bd. ORCID: https://orcid.org/0000-0002-8003-8134
- Farin Mehnaz, Zainul Haque Sikder Women’s Medical College, Dhaka – 1209. fmehnaz973@gmail.com. ORCID:https://orcid.org/0009-0001-2298-0308
- Ripon Ali Sarker, PhD Fellow, Department of Biochemistry and Molecular Biology, Patuakhali Science and Technology University, Patuakhali-8660. riponalisarkar@gmail.com. ORCID:https://orcid.org/ 0000-0000-7988-1952.
*For correspondence
Abstract
Background: Diabetes mellitus is a major health problem worldwide and it is growing at an alarming rate in the underprivileged regions and developing countries as well. Early detection of diabetes is an important tool for identifying the risk factors and applying the preventive measures. Based on the reviews, this research focused on detecting the prevalence and associated risk factors of prediabetes and diabetes in patients attending four diabetes centers in Barishal coast of Bangladesh.
Objectives: The general objective of this research was to ascertain the prevalence rate of diabetes mellitus along with its sociodemographic, biochemical and anthropometric risk factors.
Methods: A cross-sectional study with 432 study subjects was conducted in four diabetes centers viz. Barishal, Bakerganj, Patuakhali and Dumki. Socio-demographic information, clinical data and biochemical information were collected by using a structured questionnaire, clinical measurements and laboratory investigations through standard procedures. Criteria of glycaemia were utilized to diagnose diabetes mellitus and prediabetes. Multivariate and bivariate logistic regression analyses were performed to identify T2DM associated risk factors.
Results: Among the subjects, the prevalence rate of diabetes was 68.8% wherein the contribution of individual centers were 26.9, 15.0, 17.1 and 10.0% in Barishal, Bakergonj, Patuakhali and Dumki, respectively. Diabetes was more prevalent among female individuals age >51years, with a positive family history of diabetes, elevated total cholesterol and triglyceride levels. Multivariate logistic regression showed that high total cholesterol and triglyceride levels were strongly associated with diabetes. Participants with high total cholesterol had more than eight fold higher odds of diabetes (AOR = 8.16, 95%CI: 3.89-20.03), while elevated triglyceride levels were associated with 8.74 times increased risk (AOR = 8.74, 95%CI: 5.41-14.36). Individuals with a positive family history of diabetes were also found to have higher odds of diabetes (AOR = 3.54, 95%CI: 1.92-6.79). Moderate association existed between age and diabetes. On the other hand, there was a significant relationship between prediabetes with age, education status and smoking. Higher education appeared to exerts protective effect against diabetes.
Conclusion: In general, this study shows high prevalence of diabetes and prediabetes among the subjects visiting the selected diabetes centers. Diabetes is highly dependent on positive family history followed by higher cholesterol and triglyceride levels. In order to restrict the rate of prevalence and associated risk factors of diabetes, increasing awareness along with systematic lifestyle and early interventions are crucial for the studied area.
[Shaheed Syed Nazrul Islam Med Col J 2026, July; 11 (2):199-211]
DOI: https://www.doi.org/10.69699/ssnimcj.2026.11.2.13
