Consensus pour la prise en charge de l’hyperglycémie dans le diabète de type 2 en Afrique subsaharienne. Rédigé par un groupe d’experts africains du diabète

Diop, S; Djrolo, F.; Sidibé, A.T.; Baldé, N.M.; Monabeka, Henri Germain; Epaka, M.E.; Drabo, Y. J.; Abodo, J.; Kasiam, J B; Mbaye, Nalla

doi:10.1016/s1957-2557(19)30057-4

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…Whatever the regimen and the starting dose, the titration must be progressive with an increase from one to 2 units, once or twice a week, of the dose corresponding to the anomaly to be corrected. The risk of hypoglycemia should always be kept in mind [18].…”

Section: Metabolic Syndromementioning

confidence: 99%

Decentralised Management of Type 2 Diabetes in a Decentralised Centre for the Management of Type 2 Diabetes

Djiba,

Diagne,

Diédhiou

et al. 2023

OJIM

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Introduction: Diabetes mellitus is a heterogeneous metabolic disorder characterized by the presence of chronic hyperglycemia due to a lack of secretion and/or action of insulin on the target tissues. Type 2 diabetes accounts for 90% of all diabetics. Despite the few specialists, there is a policy of decentralization of these patients. Patients and Methods: This was a retrospective cross-sectional study of the records of diabetic subjects followed in ambulatory at the internal medicine department of the EPS of Mbour. The recruitment of our patients took place over a period of sixty-three (63) days (from 03 May 2021 to 05 July 2021). Results: During the study period we collected 163 patients and most of those were female with a sex ratio of 0.68. The most represented age group was 46 -55 years; 82.8% of patients came from Mbour. Diabetes was initially discovered in 65 patients (39.9%) and known in 98 patients. 72 patients in our population had previous follow-ups in a health facility; Almost all of the 146 patients had at least one FDR of T2D, i.e. 89.6%.Cardiovascular risk factors were present in 96 patients. The majority of patients (138) came for simple follow-up, 11 for acute complications and 16 for chronic complications. 36 patients in our population had at least one microangiopathic complication of diabetes, 18 a macroangiopathic complication and 18 an infectious complication. In our study, 102 patients had a very high cardiovascular risk, 42 patients had a high risk, and 19 patients had a moderate risk. Conclusion: Diabetes is a real public health emergency because of its magnitude and complications. A strengthening of the policies of decentralization of the management will allow better management of patients who are not from Dakar.

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Section: Metabolic Syndromementioning

confidence: 99%

Decentralised Management of Type 2 Diabetes in a Decentralised Centre for the Management of Type 2 Diabetes

Djiba,

Diagne,

Diédhiou

et al. 2023

OJIM

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“…The complexity of glycaemic control also lies in the fact that there are many interventions identified to improve glycaemic control. Among the consensuses on the management of hyperglycaemia in type 2 patients, the one continually updated and steered by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) remains the usual reference and has advocated therapeutic education, hygienic and dietary measures, and patient-centred care, in particular taking into account patients’ preferences in the provision of care [ 14 , 15 ]. In 2019, a team of diabetes experts from sub-Saharan Africa, taking into account the difficulties encountered in managing diabetes in Africa, in particular the cost and availability of medicines, proposed an algorithm for initiating and intensifying diabetes treatment in sub-Saharan Africa [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Consensus on potential interventions for improving glycaemic control among patients with type 2 diabetes in Kinshasa, Democratic Republic of the Congo: a Delphi study

Lubaki,

Omole,

Francis

2023

Global Health Action

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Background Poor glycaemic control is a multifactorial and complex problem with dire clinical and economic implications. In the Democratic Republic of the Congo, recent studies have shown alarming poor control rates. There is no policy framework to guide corrective actions. Objectives To build a consensus on interventions to improve glycaemic control among patients with type 2 diabetes in Kinshasa, Democratic Republic of the Congo. Methods This was a two-round electronic Delphi study involving 31 local and 5 international experts. The experts rated proposed interventions from previous studies on glycaemic control in sub-Saharan Africa and Kinshasa on a 4-Likert scale questionnaire. Additionally, the experts were asked to suggest other recommendations useful for the purpose. The mode, mean and standard deviation of each statement were calculated for each round. Results Participants reached consensus in five domains that included 39 statements on how to improve glycaemic control in Kinshasa: strengthening the health system, enhancing the awareness of diabetes, alleviating the financial burden of diabetes, enhancing the adoption of lifestyle modifications, and reducing the proportion of undiagnosed diabetes. Conclusions Improved glycaemic control needs to be considered within the broader framework of managing noncommunicable diseases in a more integrated, coordinated and better financed healthcare system. Further studies are needed to operationalise the interventions identified for successful implementation.

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Performance of the Finnish Diabetes Risk Score (FINDRISC) in the Identification of Dysglycemia in an Urban Population in Ouagadougou (Burkina Faso)

Traoré¹,

Paré²,

Dabourou³

et al. 2021

OJIM

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Background: Diabetes mellitus is a real public health problem worldwide and is growing in developing countries. Our aim was to determine the prevalence of undiagnosed type 2 diabetes mellitus (T2DM) and to evaluate the performance of the Finnish Diabetes Risk Score (FINDRISC) questionnaire to identify type 2 diabetics in the urban population of Ouagadougou, Burkina Faso. Methodology: This was a cross-sectional study among volunteers aged 18 years and older recruited systematically from November 11 to 16, 2019, in the city of Ouagadougou, Burkina Faso, FINDRISC score was used. Analysis of the Receiver Operating Characteristic (ROC) curve was used to study the diagnostic performance of FINDRISC for the identification of type 2 diabetics. The optimal threshold was determined by the sum of the highest sensitivity and specificity. Multivariate logistic regression was used to analyze the association of each variable used in the calculation of the FINDRISC score. Results: A total of 1276 individuals were included in the analyses, of which 667 (52.27%) were women. The average age was 34.16 years (SD: ±12.42). The prevalence of T2DM was 10.74%. The mean FINDRISC score was 5.85 (SD: ±4.31). The majority (58.54%) of individuals had a low risk of diabetes according to the FINDRISC score 0 -7, while 3.61% had a score ≥ 15. The FINDRISC score showed good performance (AUC = 0.70) in identifying undiagnosed type 2 diabetics. However, the variables in the score that best pre-

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Consensus pour la prise en charge de l’hyperglycémie dans le diabète de type 2 en Afrique subsaharienne. Rédigé par un groupe d’experts africains du diabète

Cited by 3 publications

References 26 publications

Decentralised Management of Type 2 Diabetes in a Decentralised Centre for the Management of Type 2 Diabetes

Decentralised Management of Type 2 Diabetes in a Decentralised Centre for the Management of Type 2 Diabetes

Consensus on potential interventions for improving glycaemic control among patients with type 2 diabetes in Kinshasa, Democratic Republic of the Congo: a Delphi study

Performance of the Finnish Diabetes Risk Score (FINDRISC) in the Identification of Dysglycemia in an Urban Population in Ouagadougou (Burkina Faso)

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