Magnitude of undiagnosed diabetes mellitus and associated factors among middle aged urban residents in west Ethiopia.

Abstract Background People die due to biologically impairment than chronological aging worldwide. Diabetic mellitus is becoming public health problem and undiagnosed diabetes is a challenge for health providers. Nevertheless, the prevalence and associated factors of undiagnosed diabetes in west Ethiopian unnoticed at community level. Objective To Investigate the magnitude of undiagnosed diabetes(T2DM) and associated factors among middle aged urban residents in west Ethiopia. Methods A community based cross-sectional study was conducted in March 01–30, 2019 on 266 undiagnosed middle aged urban residents. Data were collected using questionnaires, anthropometric measures and biomarkers. Fasting blood glucose ≥ 126mg/dl at morning were taken as diabetes. With SPSS version 24 multivariable logistic regression analyses was applied and associated factors at 95%CI with p ≤ 0.05 considered statistically significant. Results The overall prevalence of undiagnosed diabetic mellitus was 7.14% among urban residents in west Ethiopia. Being having sleep apnea, sedentary life, high (waist circumference, waist to height ratio, BMI, triglycerides, and blood pressure) were significantly associated with elevated fasting blood glucose. On multivariable logistic regression analysis: being high BMI four times (AOR: 4.87; p = 0.049), elevated blood pressure five times (AOR: 5.22; p = 0.005), and sleep apnea (p = 0.023) were associated significantly. Conclusion This study revealed undiagnosed diabetes was prevalent and associated to its risk factors in west Ethiopia. Therefore, community based education and early detection were significant to reduce the burden of diabetic mellitus.