Glycemic Control in a Clinic-Based Sample of Diabetics in M’Bour Senegal

BeLue, Rhonda; Ndiaye, Khadidiatou; NDao, Fatou; Ba, Fatou; Diaw, Mor

doi:10.1177/1090198115606919

Cited by 13 publications

(13 citation statements)

References 15 publications

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“…This finding compared favourably with that of Titty (23) in Tamale (40%), Chinenye, Uloko (24) in Nigeria (32.4%) and Musenge, Manankov (25) in Zambia (38.7%). However the rate of poor glycaemic control recorded in this study is higher than that reported by Kamuhabwa and Charles (26) in Tanzania (23.9%) and BeLue, Ndiaye (27) in Senegal (24.8%).…”

Section: Discussioncontrasting

confidence: 78%

Medication Adherence and its Association with Glycaemic Control, Blood Pressure Control, Glycosuria and Proteinuria Among People Living With Diabetes (PLWD) in the Ho Municipality, Ghana

Osei-Yeboah¹,

Lokpo²,

Owiredu³

et al. 2018

TOPHJ

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Background:Adherence is the active, voluntary, and collaborative involvement of the patient in a mutually acceptable course of behaviour to produce a therapeutic result. The study is aimed at assessing adherence to medication and its relation to therapeutic outcomes among people living with diabetes in the Ho Municipality.Methodology:A cross-sectional study was conducted involving 150 diabetic patients attending the diabetic clinic at the Ho Municipal Hospital. Urine glucose and urine protein were measured using a two-parameter dipstick. The current fasting blood glucose and blood pressure, as well as the measurements of two previous visits, were documented. A semi-structured questionnaire including the Diabetes Complication Checklist and the Morisky, Green and Levine Adherence Scale were used to capture biodata, clinical information and medication adherence.Results:Optimal medication adherence was 60.67%. Glycaemic control and controlled blood pressure were 33.33% and 58.67%, respectively. The prevalence of glycosuria and proteinuria was 10.67% and 3.3%, respectively. Percentage glycaemic control and controlled blood pressure were found to be higher among the medication adherent group, while glycosuria and proteinuria were the highest among participants presenting with low medication adherence.Conclusion:In this group of patients living with diabetes in the Ho Municipality, high level of uncontrolled glycaemia and blood pressure exist.However, these two treatment outcomes may be modulated by optimal medication adherence.

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Section: Discussioncontrasting

confidence: 78%

Medication Adherence and its Association with Glycaemic Control, Blood Pressure Control, Glycosuria and Proteinuria Among People Living With Diabetes (PLWD) in the Ho Municipality, Ghana

Osei-Yeboah¹,

Lokpo²,

Owiredu³

et al. 2018

TOPHJ

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“…Moreover, two surveys in Nigeria [ 48 , 49 ] have shown that the economic burden of diabetes is high for some patients due to the impact of out of pocket payments. In countries like Rwanda [ 19 , 50 , 51 ], Ethiopia [ 25 , 26 ], Swaziland [ 25 ], Kenya [ 52 ], Nigeria [ 53 ] Burundi, Senegal [ 54 ], and the Democratic Republic of Congo [ 51 ] diabetes drugs are still unavailable or are too expensive to be accessible. This is identified by patients as one of the biggest reasons for nonadherence to treatment [ 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…The studies included in this systematic review had some limitations, as mentioned by their authors. These limitations include low number of participants [ 28 , 43 , 63 , 65 – 67 , 73 ], participants and centers not representative sample of the studied country [ 25 , 29 , 40 , 45 , 53 , 54 ]. Other studies reported high loss to follow-up [ 27 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Nuche-Berenguer

Kupfer

2018

Journal of Diabetes Research

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Background Effective health systems are needed to care for the coming surge of diabetics in sub-Saharan Africa (SSA). Objective We conducted a systematic review of literature to determine the capacity of SSA health systems to manage diabetes. Methodology We used three different databases (Embase, Scopus, and PubMed) to search for studies, published from 2004 to 2017, on diabetes care in SSA. Results Fifty-five articles met the inclusion criteria, covering the different aspects related to diabetes care such as availability of drugs and diagnostic tools, the capacity of healthcare workers, and the integration of diabetes care into HIV and TB platforms. Conclusion Although chronic care health systems in SSA have developed significantly in the last decade, the capacity for managing diabetes remains in its infancy. We identified pilot projects to enhance these capacities. The scale-up of these pilot interventions and the integration of diabetes care into existing robust chronic disease platforms may be a feasible approach to begin to tackle the upcoming pandemic in diabetes. Nonetheless, much more work needs to be done to address the health system-wide deficiencies in diabetes care. More research is also needed to determine how to integrate diabetes care into the healthcare system in SSA.

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“…Different rates of poor glycemic control were reported in the various African settings e.g. 74.0% in Cameroon and Guinea [ 15 ], 61.3% in Zambia [ 17 ], 69.7% in Tanzania [ 18 ], 75.2% in Senegal [ 16 ], 79.2% in Uganda [ 19 ], and 62% in Nigeria [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of glycemic control in type 2 diabetes in the Eastern Sudan

et al. 2018

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ObjectivesA cross-sectional study was conducted in Gadarif, eastern Sudan to assess glycaemic control among adult patients with type 2 diabetes in eastern Sudan. Poor glycaemic control was defined as HbA1c level of ≥ 7.0%. Questionnaire was used to gathered sociodemographic and clinical characteristics.ResultsA total of 339 patients (69.9% were women) were enrolled in the study. The mean age of the participants was 54.8 (12.8) years. Approximately more than two-thirds (n = 243, 71.7%) of the participants were using oral glucose control agents. A round one-fifth (22.1%) of the participants were using insulin and only 6.2% of them were using both insulin and oral glucose control agents. The rate of poor glycemic control was 71.9%. In logistic regression analyses, duration of diabetes, medications used, and the triglycerides were not associated with poor glycemic control. However, being unmarried (OR = 3.64, 95% CI 1.21–10.90), adding sugar to the drinks (OR = 1.84, 95% CI 1.11–3.05, P = 0.017) and high cholesterol level (OR = 1.01, 95% CI 1.01–1.02.) were associated with poor glycemic control. In summary the rate of uncontrolled type 2 diabetes mellitus was considerably high especially among being unmarried patients and patients who were adding sugar to the drinks.

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Glycemic Control in a Clinic-Based Sample of Diabetics in M’Bour Senegal

Cited by 13 publications

References 15 publications

Medication Adherence and its Association with Glycaemic Control, Blood Pressure Control, Glycosuria and Proteinuria Among People Living With Diabetes (PLWD) in the Ho Municipality, Ghana

Medication Adherence and its Association with Glycaemic Control, Blood Pressure Control, Glycosuria and Proteinuria Among People Living With Diabetes (PLWD) in the Ho Municipality, Ghana

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Assessment of glycemic control in type 2 diabetes in the Eastern Sudan

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