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Journal of Diabetes Research
Volume 2018, Article ID 8964027, 7 pages
Research Article

Risk Factors for Microvascular Complications of Diabetes in a High-Risk Middle East Population

1Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar
2Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy
3Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar
4Department of Surgery and Department of Family Medicine, New York Medical College, Valhalla, NY, USA

Correspondence should be addressed to Sohaila Cheema; ude.llenroc.dem-rataq@5002cos

Received 23 October 2017; Revised 18 March 2018; Accepted 3 April 2018; Published 2 July 2018

Academic Editor: Daniela Foti

Copyright © 2018 Sohaila Cheema et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aims. Much of the diabetes burden is caused by its complications. This cross-sectional study aimed to determine the prevalence and risk factors for diabetic microvascular complications (retinopathy, nephropathy, and neuropathy) in a high-risk population. Methods. We collected information via a structured questionnaire and directly from the patient’s record on 1034 adult type 2 diabetic patients who were attending outpatient clinics in Qatar. Results. The mean age of the patients was 55 ± 10 years, and the mean duration of diabetes was 12.4 ± 8.9 years. Forty-five percent had one or more microvascular complications. Shared risk factors for multiplicity and for individual complications included family history, severity and duration of diabetes, and hypertension, but some risk factors were specific for individual microvascular complications. Early age at onset of diabetes was strongly associated with multiplicity of complications (). Conclusions. About half the diabetics in this high-risk population had one or more microvascular complications. Several well-established risk factors were associated with multiplicity and individual microvascular complications, but each separate microvascular complication was linked to a somewhat different constellation of risk factors.