Assessment of Diabetic Complications, Knowledge, Attitudes, Practices, and Lifestyle among Diabetes Patients in Kushtia District, Bangladesh

Objective: In this study, we assessed the nutritional status, diabetes-related health complications, and the knowledge, attitudes, and practices (KAPs) of diabetes patients in Kushtia District, Bangladesh, where diabetes is becoming an increasing concern. Methods: We conducted a cross-sectional study, enrolling 307 patients aged 18 to 70 years, receiving treatment at Bheramara Diabetic Hospital, Kushtia. We collected data using a combination of anthropometric, biochemical, clinical, and dietary assessment methods. Results: The study revealed that most patients were obese (52.1%) and had uncontrolled diabetes, with elevated fasting (8.19 ± 1.68 mmol/L) and postprandial (10.54 ± 1.72 mmol/L) blood glucose levels. Diabetes-related complications were common, including eye (92.8%), oral (62.2%), and foot (57.3%) issues. The KAP scores were generally poor, with low knowledge (43.4%) and practices (72.6%). We found a statistically significant correlation between fasting blood glucose levels and daily exercise; education and economic status were strongly related to KAP scores. Conclusions: A notable number of patients in the Kushtia District are experiencing various health complications related to diabetes. Our findings highlight the need to address inadequate nutrition, poorly controlled diabetes, and the lack of patient awareness to reduce the impact of disease complications.