Abstract
Background: Diabetes can result in a number of challenges that lower quality of life, increase healthcare system expenses, and eventually cause early death. This study aimed to evaluate the prevalence of diabetes-associated complications in Bahawalpur and to explore how glycemic control and self-care behaviours affect disease progression and quality of life among adults with Type 2 diabetes.
Methodology: This cross-sectional study included 374 patients admitted between November 2024 and April 2025 to Bahawal Victoria Hospital’s medical wards standardized questionnaire was used to collect data on the patients' demographics, diabetes history, self-care practices, and complications experienced. Statistical analyses were performed using SPSS version 27.0, incorporating descriptive statistics, Pearson’s chi-square tests, and regression modelling.
Results: In our study, 58.6% of patients were female, and 35.6% had previously been admitted to the hospital during the year before as a result of diabetes complications. Approximately 57.4% of patients were diagnosed with high blood pressure. Diabetic nephropathy (41.5%) was the most common complication. Approximately 62.6% of patients had poor glycemic control. Educational attainment demonstrated an almost significant impact with a borderline effect (OR = 0.780, p = 0.053), indicating a potential trend toward improved control with greater educational attainment.
Conclusion: According to this study, people with more self-care barriers had a higher prevalence of diabetic complications. In light of these findings, appropriate measures to reduce complications, such as awareness initiatives, mobile clinics, and in-ward nutritionists for effective management