Abstract:
Dyslipidemiais one of the common disorders which have seen in most of the diabetes patients and it predisposes premature atherosclerosis and macro vascular complications. Early detection and treatment of dyslipidemia in diabetes mellitus can prevent risk for Atherogenic cardiovascular disorder. There is limited data on the magnitude and risk factors associated with dyslipidemia among diabetic patients in Bahir Dar, Ethiopia. The purpose of this study was to assess dyslipidemia, Nutritional Status and other associated factors among Diabetic patients in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia. A Cross sectional study was conducted from June 8, 2018 to August 7, 2018G.C. A total 112 diabetic patients were selected for the study using simple random sampling technique. Anthropometric measurements and fasting blood sample were collected. Fasting blood glucose and lipid profile tests were analysed from collected blood. Multiple logistic regression analysis was applied to see association (p<0.05 is significant) among different variables. Of 112 study samples, dyslipidemia or high level of lipid profile TC > 200 mg/dl, TG > 200 mg/dl, LDL-C > 130 mg/dl, and low HDL-C < 40mg/dl were observed in 25.9%, 43.8%, 18.8%, and 69.6% DM patients, respectively. Abnormal BMI showed positive correlation with raised total cholesterol (P value = 0.003, AOR = 5.02, 95% CI (1.75, 14.39)), raised LDL (p value = 0.000, AOR = 8.64, 95% CI (2.67, 27.94)) and raised TG (P value =0.000, AOR = 5.9, 95% CI (2.34, 15.09)). In addition, raised TG were also associated with daily physical inactivity (P< 0.026, AOR=2.8, 95% CI (1.13, 7.06)) and poorly glycemic level FBS >130 and FBS <70 (P< 0.002, AOR = 7.3, 95% CI (2.12, 25.32)). Moreover, decreased HDL was associated with diabetic patients who had habit of whole fat diet product intake (p < 0.037, AOR= 3.33, 95% CI (1.08, 10.32)). Therefore, dietary modification with decreased daily intake of whole fat food, reduction of body weight, controlling glycemic level, and daily physical activities will helps to reduce risk of dyslipidemia and further cardiovascular complications of diabetes mellitus.