Abstract
Background: Diabetes Mellitus (DM) has emerged as a pressing global health problem, contributing to the burden of non-communicable diseases. Recent estimates suggest that around 40% of the global population are affected, with numbers expected to rise. Once viewed largely as a lifestyle-related condition, DM is now understood to stem from a range of genetic, environmental, and socio-economic factors. The World Health Organization (WHO) has called for comprehensive strategies to prevent and manage diabetes and its complications. In Africa, diabetes is a leading cause of death, especially among economically productive age groups. Contributing challenges include weak healthcare systems, delayed diagnosis, and limited treatment access. In Kenya, prevalence reached 3.5% in 2014, and is expected to reach 4.5% in 2025, highlighting a growing need for early detection and effective treatment. Alarmingly, many individuals remain undiagnosed, and more than 5% of diagnosed cases already exhibit complications. National health efforts focus on building healthcare provider capacity and supporting long-term prevention measures. Objective: The objective of the study was to establish factors contributing to type 2 diabetes mellitus among subjects residing in Longisa sub-county of Bomet County. Method: This was a cross-sectional descriptive study which collected data from a randomized group of 400 subjects. Result: Data revealed the following findings: males were 180(45.1%) while females were 220(54.9%). Subjects ranged from 18 to over 60 years of age, while majority were between 40 to 49 years who were 121(30.3%). Regarding marital status, out of 400 subjects, 208 (52%) were married. As regards to the level of education, 81(20.2%) had completed primary education, 161(40.3%) had completed secondary education, while 158(39.5%) had completed tertiary education. Out of 400 subjects, 164(41%) had a history of diabetes in the family. Regarding comorbidities, 82(20.5%) had low blood sugar level, 42 (10.5%) had hearing problems, 76 (19%) had eye problems, while 120(30%) presented with wounds. Regarding life-style factors, 160 (40.1%) were smoking cigarettes, 240(40.2%) were taking alcohol, while 121(30.3%) were taking meals twice a day, and 320 (80.1%) were consuming fatty foods. Again, 280 (70%) consumed enough vegetables and fruits. Regarding exercise, 259 (64.8%) subjects were involved in carrying out daily exercises. Conclusion: Type 2 Diabetes Mellitus will continue to afflict individuals unless collective interventions are implemented to scale it down through community mobilization and education. Changing people’s life-style, in reducing obesity, proper nutrition avoiding cigarette smoking and engaging in exercises.
Keywords: Type2Diabetes Mellitus; Lifestyle factors; Physical Activities; Non-Communicable Diseases
References
- American Diabetes Association. “Children and Adolescents: Standards of Care in Diabetes—2024”. Diabetes Care (2024).
- American Diabetes Association. “Standards of Care in Diabetes—2025”. Diabetes Care (2025).
- Calhoun N, Vorderstrasse A and Chang J. “Are demographic factors associated with diabetes risk perception and preventive behavior?”. Journal of Best Practices in Health Professions Diversity 12.2 (2019): 128-140.
- Centers for Disease Control and Prevention. National Diabetes Statistics Report (2024).
- Chege M. “Risk factors for type 2 diabetes mellitus among patients attending a rural Kenyan hospital”. National Institute of Diabetes and Digestive and Kidney Diseases (2024).
- Dahlman M, Ryden P and Arner P. Diabetes & Metabolism Journal 49.3 (2025): 155-159.
- Fisher AA., et al. “Handbook for family planning operations research design”. Population Council (1998).
- Harrison TA., et al. “Family history of diabetes mellitus”. National Center for Biotechnology Information (2025).
- International Digital Organization for Scientific Research. “Research findings in biochemistry, biotechnology, and allied fields”. IDOSR Journal of Biochemistry, Biotechnology and Allied Fields 9.3 (2024): 18-24.
- Khachikyan L., et al. “Meta-analysis of multiple comorbidities associated with Type 2 Diabetes”. Diabetes 72.Supplement 1 (2023): 1323.
- Kyrou I., et al. “Lifestyle medicine for stress-related diseases: The role of dietary habits, exercise, sleep, and stress management in improving health and well-being”. BMC Endocrine Disorders 20.Suppl 1 (2020): 134.
- Larrabure-Torrealva GT., et al. “Pregnancy and Childbirth”. BMC (2024).
- Liu Z., et al. “Prevalence of chronic complications of type 2 diabetes mellitus in outpatients - a cross-sectional hospital-based survey in urban China”. Health and Quality of Life Outcomes 8 (2010): 62.
- Mathew FT and Aminamol H. “The escalating genetic predisposition to Type 2 diabetes in the global population”. International Journal for Multidisciplinary Research 6.6 (2024): 1-3.
- Mbanya JCN., et al. “Diabetes in sub-Saharan Africa”. The Lancet (2025).
- Nowakowska M., et al. “The comorbidity burden of type 2 diabetes mellitus: patterns, clusters and predictions from a large English primary care cohort”. BMC Medicine 17.1 (2019): 145.
- Rena RE., et al. “Lifestyle intervention in overweight individuals with a family history of diabetes”. Diabetes Care (2025).
- Sami A., et al. “Genetics of diabetes and its complications: a comprehensive review”. Diabetology & Metabolic Syndrome 17.1 (2025): 185.
- Sarwar N., et al. “Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: A collaborative meta-analysis of 102 prospective studies”. The Lancet (2010).
- Simonenko M. “Lifestyle factors, self-management & patient empowerment in diabetes care”. Comment on behalf of EAPC Almazov National Medical Research Centre, St. Petersburg (2020).
- Smeltzer SC., et al. “Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (15th ed.)”. Lippincott Williams & Wilkins (2025).
- Tripathy JP., et al. “Prevalence and risk factors of diabetes in a large community-based study in North India: Results from a STEPS survey in Punjab, India”. Diabetol Metab Syndr (2017).
- Veradigm. Type 2 Diabetes and Management of Cardiovascular and Renal Comorbidities: A Cohort Analysis with Case Study (2023). https://veradigm.com/img/resource-comorbidities-type-2-diabetes-rwe.pdf
- World Health Organization. “Diabetes Fact Sheet”. Retrieved from World Diabetic Day (2025).
- Zhang L., et al. “Prevalence of micro- and macrovascular complications of type 2 diabetes mellitus in outpatients in China”. Chinese Medical Journal 124.24 (2011): 3826-3832.
- Zhang Y, Ley S and Hu BF. “Global etiology and epidemiology of type 2 diabetes mellitus and its complications”. Nature Reviews Endocrinology (2018).