Abstract:Aims: To describe the diabetic population receiving primary care from the Tshwane district public health services and to assess the quality of care of members of this population, their level of disease control and the extent of their complications.
Methods:A cluster-randomised trial was conducted in 12 primary care clinics in Tshwane district. A total of 599 diabetic patients attending these clinics for review were consecutively interviewed and clinically examined. Data on the care received was also obtained f… Show more
“…Webb respectively. 13 However, Gill et al recorded a lower mean SBP (108 mmHg) and mean DBP (72 mmHg) than that in this study. 16 In the present study, 84.4% of the patients were overweight, including 55.2% who were obese.…”
Section: Discussioncontrasting
confidence: 79%
“…There were uncontrolled lipids in more than 80% of their study population. 13 In this study, the mean SBP was 140 mmHg and the mean DBP 80 mmHg. More than half of the patients (54%) had a DBP above the target recommended by the 2012 SEMDSA guidelines.…”
Section: Discussionmentioning
confidence: 53%
“…Webb et al found similar levels of obesity in their study, where more than 80% of patients were overweight. 13 One of the limitations of the present study was that it was a tertiary, clinic-based study. The study population was mostly patients who were difficult to control at a lower level of care, and who were therefore referred to the tertiary clinic.…”
Section: Discussionmentioning
confidence: 91%
“…Webb et al found that more than 70% of patients had an HbA 1c value > 7% in a cluster randomised trial conducted in the Tshwane district. 13 73.8% of patients failed to meet the HbA 1c target in another study conducted in a South African population with type 2 diabetes.…”
Section: Discussionmentioning
confidence: 95%
“…However, diabetes control was also shown to be suboptimal in two other studies conducted in South Africa. 13,14 The first study was on diabetic patients attending primary healthcare clinics, but the study population from the second study presented at a diabetic clinic in a tertiary academic hospital similar to ours, after being referred by their treating physicians at the primary clinics. 13,14 The prevalence of micro-or macroalbuminuria in patients with type 1 and type 2 diabetes was 33.6%; 23% for microalbuminuria and 10.6% for macroalbuminuria, in this cross-sectional analysis.…”
Objective: The aim of this study was to determine the prevalence of micro-or macroalbuminuria in type 1 and type 2 diabetic patients, and to examine the relationship with the diabetes control parameters such as haemoglobin (Hb)A 1c , blood pressure (BP) and lipids. Design: This was an analytical cross-sectional study.
Setting and subjects:The study consisted of 754 patients with either type 1 or type 2 diabetes, attending a diabetes clinic at the Kalafong Hospital in Pretoria, South Africa. Outcome measures: Micro-or macroalbuminuria and estimated glomerular filtration rate (eGFR) were the outcome measures. Results: An HbA 1c > 7% was recorded in 88.9% of the patients, and low-density lipoprotein cholesterol ≥ 1.8 mmol/l in 81%.Overall, the prevalence of micro-or macroalbuminuria was 33.6%. Logistic regression revealed that HbA 1c , the duration of diabetes, systolic BP, male sex and triglycerides were predictive of microalbuminuria.
Conclusion:The prevalence of micro-or macroalbuminuria in this study fell within the ranges of what has previously been reported in Africa. HbA 1c and the duration of diabetes were the strongest predictors of microalbuminuria in all of the patients, and age was the strongest predictor of a low eGFR. Diabetes was poorly controlled, making the progression to end-stage renal failure a real concern in these patients.Peer reviewed.
“…Webb respectively. 13 However, Gill et al recorded a lower mean SBP (108 mmHg) and mean DBP (72 mmHg) than that in this study. 16 In the present study, 84.4% of the patients were overweight, including 55.2% who were obese.…”
Section: Discussioncontrasting
confidence: 79%
“…There were uncontrolled lipids in more than 80% of their study population. 13 In this study, the mean SBP was 140 mmHg and the mean DBP 80 mmHg. More than half of the patients (54%) had a DBP above the target recommended by the 2012 SEMDSA guidelines.…”
Section: Discussionmentioning
confidence: 53%
“…Webb et al found similar levels of obesity in their study, where more than 80% of patients were overweight. 13 One of the limitations of the present study was that it was a tertiary, clinic-based study. The study population was mostly patients who were difficult to control at a lower level of care, and who were therefore referred to the tertiary clinic.…”
Section: Discussionmentioning
confidence: 91%
“…Webb et al found that more than 70% of patients had an HbA 1c value > 7% in a cluster randomised trial conducted in the Tshwane district. 13 73.8% of patients failed to meet the HbA 1c target in another study conducted in a South African population with type 2 diabetes.…”
Section: Discussionmentioning
confidence: 95%
“…However, diabetes control was also shown to be suboptimal in two other studies conducted in South Africa. 13,14 The first study was on diabetic patients attending primary healthcare clinics, but the study population from the second study presented at a diabetic clinic in a tertiary academic hospital similar to ours, after being referred by their treating physicians at the primary clinics. 13,14 The prevalence of micro-or macroalbuminuria in patients with type 1 and type 2 diabetes was 33.6%; 23% for microalbuminuria and 10.6% for macroalbuminuria, in this cross-sectional analysis.…”
Objective: The aim of this study was to determine the prevalence of micro-or macroalbuminuria in type 1 and type 2 diabetic patients, and to examine the relationship with the diabetes control parameters such as haemoglobin (Hb)A 1c , blood pressure (BP) and lipids. Design: This was an analytical cross-sectional study.
Setting and subjects:The study consisted of 754 patients with either type 1 or type 2 diabetes, attending a diabetes clinic at the Kalafong Hospital in Pretoria, South Africa. Outcome measures: Micro-or macroalbuminuria and estimated glomerular filtration rate (eGFR) were the outcome measures. Results: An HbA 1c > 7% was recorded in 88.9% of the patients, and low-density lipoprotein cholesterol ≥ 1.8 mmol/l in 81%.Overall, the prevalence of micro-or macroalbuminuria was 33.6%. Logistic regression revealed that HbA 1c , the duration of diabetes, systolic BP, male sex and triglycerides were predictive of microalbuminuria.
Conclusion:The prevalence of micro-or macroalbuminuria in this study fell within the ranges of what has previously been reported in Africa. HbA 1c and the duration of diabetes were the strongest predictors of microalbuminuria in all of the patients, and age was the strongest predictor of a low eGFR. Diabetes was poorly controlled, making the progression to end-stage renal failure a real concern in these patients.Peer reviewed.
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