Pattern of complications and comorbidities among diabetic patients in a tertiary healthcare center in Nigeria

Kayode, Oluwatosin O; Odukoya, Oluwakemi Ololade; Odeniyi, I.A; Olopade, O.B; Fasanmade, O.A

doi:10.4103/1595-9587.160765

Cited by 8 publications

(6 citation statements)

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“…Most of our patients were male (50.9%), though the difference in sex distribution is only minimal. This finding is however in variance with other studies done among patients with diabetes2021 but similar to a study by Anyawu et al . and Olamoyegun et al ., who looked at endocrine-related disorders presenting to the Emergency in Lagos, Nigeria, and dyslipidemia in Nigerians, respectively 422.…”

Section: Discussionsupporting

confidence: 89%

Patterns and Impact of Consultations to an Endocrinology Unit in a Tertiary Hospital in Southwestern Nigeria

et al. 2018

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Background: The dearth of endocrinologists in Nigeria, coupled with a paucity of data on patterns of endocrine consultations pose a challenge in evaluating the impact of consultations on patients' management and eventual outcomes. The objectives of this study were to determine the frequency, sources of referrals, the common cases referred, the reasons for consultation requests, and the outcome of patients who benefitted from endocrine consultations. Materials and Methods: This study was carried out in the Endocrinology unit of Babcock University Teaching Hospital, over 9 months. All patients referred to the unit were sampled (total sampling). Their sociodemographic parameters, sources, and reasons for consultations were documented. The patients' case notes were then retrospectively reviewed, to determine the impact of the consultation on their management and outcome. Results: A total of 108 consults were received throughout the study. Most consultations were requested by the general outpatient clinic (37%) followed by cardiology clinic (12%). The most common reason was to take over management of the patients. Diabetes mellitus accounted for 68.7% of the cases seen. Diagnosis made by the referring physician was confirmed in most cases, new diagnoses or change in diagnosis was reached in 9.3% and 3.7%, respectively. About 39.8% of the patients were lost to follow-up, while 53.8% were in good and fair clinical condition. Conclusion: Most of the cases referred for specialist care were from the general outpatient clinic, had diabetes mellitus, and benefitted from specialist care by the way of advanced investigations and treatments, though about a third were lost to follow-up. It is imperative that a good referral system is maintained among physicians, to ensure that patients get the best care available. Attention must be paid to common causes of patient attrition such as lack of widespread health insurance coverage, to ensure continuity of care.

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Section: Discussionsupporting

confidence: 89%

Patterns and Impact of Consultations to an Endocrinology Unit in a Tertiary Hospital in Southwestern Nigeria

et al. 2018

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“…Hypertension is a common co-morbidity among diabetic patients [4,15]. In this study there is a high prevalence of hypertension among the respondents.…”

Section: Discussionmentioning

confidence: 68%

Cross-Sectional Study of Impact of Social Support on Depression among Type 2 Diabetics in a Secondary Health Care Facility in Southwest Nigeria

Ilori¹,

Ajetunmobi

2019

JAMMR

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Aims: To assess the level of social support and determine the relationship between depression and social support among patients with type 2 diabetes mellitus (DM). Study Design: This study was a cross-sectional survey. Place and duration of Study: The study was carried out at the Medical Out Patients (MOP) clinic of Jericho Specialist Hospital, Ibadan between 1st of August and 30th of September 2017. Methodology: Systematic sampling technique was used to recruit 273 type 2DM patients who were 40 years and above, receiving care at the MOP clinic for at least 3months. Diabetes-related information was collected using a semi-structured questionnaire. Zung self-rating scale and multidimensional perceived social support scale were used to assess depression and social support respectively. Independent t-test was used to determine the relationship between depression and social support and the level of significance was set at p<.05. Results: Half (50.5%) of the respondents were diagnosed in the past 5 years as having type 2 DM, 79.5% had hypertension as a co-morbidity and 51.6% had good glycaemic control. The prevalence of depression was 27.5%, mild and moderate depression were 26.4% and 1.1% respectively and none had severe depression. One hundred and two (37.4%),56.0% and 6.6% respondents had high, moderate and low social support respectively. The highest social support scores 5.9 + 1.7 was from family. Total perceived social support was higher among non-depressed diabetic respondents. There was a significant difference between the mean total support in the depressed and non-depressed group (4.88 ± 1.41 vs 4.50 ± 1.24, p = .03). Conclusion: Type 2 DM patients who had high social support were less depressed, therefore, clinicians managing DM patients should explore the social support enjoyed by such patients to achieve good health outcome.

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“…[6] The prevalence rate of co-existing HTN and T2DM reported to be 71.6% in Nigeria is similar to 70.4% reported in Morocco. [6,7] This co-existence increases patients' development and progression of macrovascular and microvascular complications. [8] Additionally, their synergy with metabolic syndrome, which also frequently co-exist, increases CVD mortality through atherosclerosis.…”

Section: Introductionmentioning

confidence: 99%

Carotid Doppler Ultrasonography in Patients with Co-existing Type 2 Diabetes Mellitus and Hypertension in Nigeria

Adekoya¹,

Olatunji²,

Akinola³

et al. 2022

Ann Health Res

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Background: The co-existence of diabetes mellitus (DM) and hypertension (HTN) has been rising globally with subclinical atherosclerotic complications. These vascular changes can be detected using carotid ultrasonography. Objectives: To determine and compare the carotid arterial structural wall changes and blood flow velocities of adults with co-existing DM and HTN with age- and sex-matched non-diabetic, non-hypertensive controls. Methods: A cross-sectional comparative study of 300 participants comprising 200 adults with co-existing DM and HTN and 100 age- and sex-matched controls was done. Their carotid arteries were examined bilaterally for plaques, carotid intima media thickness (CIMT) and flow velocities – peak systolic velocity (PSV), end diastolic velocity (EDV), pulsatility index (PI) and resistive index (RI) using 4–12MHz linear array transducer. Visceral obesity and serum lipids were also assessed. Results: The mean age of the subjects was 56.13 ± 6.93 years; they comprised 38% males and 62% females. The subjects’ CIMT was statistically significantly higher (p = 0.001) with a three-fold mean increase (45.5%) compared to the controls (13.7%). Lower flow velocities but higher indices were also observed in the subjects. Strong and significant correlations were observed between EDV and PI (r =-0.663, p =>0.001), EDV and RI (r = -0.661, p =>0.001) and PI and RI (r =0.988, p = >0.001) among the subjects. Conclusion: Significant reduction in flow velocities with increased CIMT may be an early indication of subclinical atherosclerosis. Therefore, carotid ultrasonography should be mandatory in individuals at risk for early detection and possible prevention of atherosclerotic complications.

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Pattern of complications and comorbidities among diabetic patients in a tertiary healthcare center in Nigeria

Cited by 8 publications

References 0 publications

Patterns and Impact of Consultations to an Endocrinology Unit in a Tertiary Hospital in Southwestern Nigeria

Patterns and Impact of Consultations to an Endocrinology Unit in a Tertiary Hospital in Southwestern Nigeria

Cross-Sectional Study of Impact of Social Support on Depression among Type 2 Diabetics in a Secondary Health Care Facility in Southwest Nigeria

Carotid Doppler Ultrasonography in Patients with Co-existing Type 2 Diabetes Mellitus and Hypertension in Nigeria

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