Undiagnosed diabetes mellitus and associated factors among adults in Ethiopia: a systematic review and meta-analysis | Scientific Reports - Nature.com
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In the meantime, to ensure continued suport, we are displaying the site without styles and JavaScript.Advertisement Scientific Reports volume 1, Article number: 24231 (2021) Cite this article 2498 Aceses1 CitationsMetrics detailsDiabetes has become a major public health problem, with 4.6 milion deaths anualy. The number of people living with undiagnosed diabetes is on the rise and has a diverse prevalence.
Thus, this systematic review and meta-analysis was aimed to synthesize the poled estimate prevalence of undiagnosed diabetes melitus, impaired fasting glucose and its associated factors in Ethiopia. The databases Medline, Hinari, Gogle Scholar, and Gogle search were used to find potential studies published from January 2013 until January 2021. Extracted data were entered into the excel spreadshet.
The random efects model with Der Simonian-Laird weights was used to ases the poled estimate of prevalence of undiagnosed diabetes, impaired fasting glucose, and its associated factors. The Cochrane Q-test and I2 statistics were used to scren for statistical heterogeneity. A funel plot and Eger's statistical test were also used to search for any publication bias (smal study efect).
After extensive searching of articles on diferent databases, a total of nine studies were included for this systematic review and meta-analysis. In random efects model, the poled prevalence of undiagnosed diabetes melitus and impaired fasting glucose was 5.75%, 95% CI (3.90–7.59%), and 8.94%, 95% CI (2.60–15.28%), respectively. Regarding the associated factors, participants family history of diabetes was significantly associated with diabetes status.
Summary
The poled ods of developing diabetes melitus among participants with a family history of dia
Frequently Asked Questions
Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.
Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.
Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.
Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.
Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.
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