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Type 2 diabetes control and complications in specialised diabetes care centres of six sub-Saharan African countries: The Diabcare Africa study

Lookup NU author(s): Dr Eugene Sobngwi

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Abstract

Aim: The Diabcare Africa project was carried out across six sub-Saharan African countries to collect standardised and comparable information for the evaluation of diabetes control, management and late complications in diabetic populations at specialist clinics. Methods: A cross-sectional, descriptive study of 2352 type-2 diabetes patients who were treated at specialist clinics for at least 12 months prior to the study. Results: The mean age of patients was 53.0 +/- 16.0 years and had 8.0 +/- 6.0 years known duration of diabetes. 47% had their HbA1c assessed in the past year (mean 8.2 +/- 2.4%) with 29% achieving a level <6.5%. 21% had BP within 130/80 mmHg and 65% were treated for hypertension. Fasting lipids were assessed in 45% of the patients with mean cholesterol level of 4.9 +/- 1.2 mmol/L, HDL-cholesterol of 1.3 +/- 0.7 mmol/L and triglycerides of 1.2 +/- 0.7 mmol/L. 13% of the patients were treated for hyperlipidaemia, mostly with statins. Background retinopathy (18%) and cataract (14%) were the most common eye complications. Macrovascular disease was rare, and 48% had neuropathy. Conclusions: Half of the patients benefitted from standard care, and a third had appropriate glycaemic control - attributed to access to, rather than quality of care. This study provided evidence to support appropriate interventions to diabetic populations of sub-Saharan origin. (C) 2011 Elsevier Ireland Ltd. All rights reserved.

Publication metadata

Author(s): Sobngwi E, Ndour-Mbaye M, Boateng KA, Ramaiya KL, Njenga EW, Diop SN, Mbanya JC, Ohwovoriole AE

Publication type: Article

Publication status: Published

Journal: Diabetes Research and Clinical Practice

Year: 2012

Volume: 95

Issue: 1

Pages: 30-36

Print publication date: 08/11/2011

ISSN (print): 0168-8227

ISSN (electronic): 1872-8227

Publisher: Elsevier Ireland Ltd

URL: http://dx.doi.org/10.1016/j.diabres.2011.10.018

DOI: 10.1016/j.diabres.2011.10.018

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