Improvement noted after a multifaceted approach to diabetes mellitus management

Pillay, S; Aldous, Colleen; Mahomed, F.A.

doi:10.1080/16089677.2015.1129704

Cited by 5 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinicians used a standardised clinic sheet on which patient particulars were recorded. 21 This clinic sheet was approved for use in the clinic by the University of KwaZulu-Natal Biomedical Research Ethics Committee (BREC)-BCA 194/15. The data for the study included patients who attended the diabetes clinic between July 1, 2015 and June 30, 2016.…”

Section: Methodsmentioning

confidence: 99%

The Magnesium and Glucose (MAG) Study: the prevalence and effect of hypomagnesaemia on diabetes control in a regional hospital in KwaZulu-Natal

Pillay

Vuuren

2018

Journal of Endocrinology, Metabolism and Diabetes of South Afri

Self Cite

View full text Add to dashboard Cite

Background: Diabetes mellitus (DM) poses a great burden of disease worldwide. The adverse effects of hypomagnesaemia (hypoMg 2+ ) in patients with DM have been well described, with a higher prevalence of hypoMg 2+ in patients with DM than in the general population (up to 35% vs. up to 15%) ) and renal function are presented for statistical analysis. Results: A total of 744 patients were enrolled. Most patients were female (527; 70.8%) and were diagnosed with Type 2 diabetes (DM2) (633; 85.1%) with a mean age of 52.3 (SD 15.6 years). The prevalence of hypoMg 2+ was found to be 8.44%. HypoMg 2+ was associated with poor glycaemic control (r = -0.16, p < 0.0001). A significant relationship was observed between glycaemic control and hypoMg 2+ in males (r = -0.21, p = 0.0038), but not females (r = -0.011, p = 0.81). No significant relationship was evident between hypoMg 2+ and renal dysfunction (r = -0.064, p = 0.11). Conclusion: HypoMg 2+ in patients with DM was associated with poorer glycaemic control in the male population, potentially increasing the risk of adverse health outcomes. However, the prevalence of hypoMg 2+ was not higher than in published data, but population-specific controls are required. No association could be found between hypoMg 2+ and renal dysfunction. The need for routine Mg 2+ testing and supplementation in our population requires further assessment.

show abstract

Section: Methodsmentioning

confidence: 99%

The Magnesium and Glucose (MAG) Study: the prevalence and effect of hypomagnesaemia on diabetes control in a regional hospital in KwaZulu-Natal

Pillay

Vuuren

2018

Journal of Endocrinology, Metabolism and Diabetes of South Afri

Self Cite

View full text Add to dashboard Cite

show abstract

“…Podiatry takes preventive measures early in the disease process such that treating the foot in the early risk categories prevents patients from becoming high risk. 2 Although the value of podiatry and the approach of a multidisciplinary team in diabetes care has been widely acknowledged, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] very few such teams that include podiatry are in place in state health. Healthcare policy decisions are driven by many factors, including cost, hence the need to begin the process of calculating the costs of diabetes-related lower limb amputations.…”

Section: Introductionmentioning

confidence: 99%

Counting the cost of preventable diabetes-related lower limb amputations at a single district hospital in KwaZulu-Natal: what does this mean, what can be done?

Thompson

Bruce

Kong

et al. 2020

Journal of Endocrinology, Metabolism and Diabetes of South Afri

Self Cite

View full text Add to dashboard Cite

Background: Healthcare policy decisions are driven by many factors, including cost, hence the need to show costs of diabetes mellitus-related lower limb amputations (DMLLA) to inform amendments to health care. Substantial decreases in amputation rates are associated with specialised podiatry foot clinics and ongoing foot education, as per national guidelines on the multidisciplinary team approach (MDTA) to diabetes health care. There are only two podiatry posts in KwaZulu-Natal (KZN) state health department (DoH). Objectives: Aims were to draft the medical costs for 660 DMLLA at Greys Hospital for the period 2013-2017; to extrapolate costs on annual DMLLA in KZN; to outline socio-economic costs for future investigation; to present evidence that podiatry in the MDTA can decrease numbers of DMLLA. Methods: A retrospective review on clinical data captured in real time and maintained by the Pietermaritzburg Metropolitan Trauma Service (PMTS) and Surgical Service (PMSS) was performed. Costs were analysed on data for 660 patients' DMLLA at Greys Hospital between 2013 and 2017, and psychological and socio-economic costs via literature review. Results: Medical care at Greys Hospital for 660 DMLLA in the five years cost in excess of ZAR 213 million. Extrapolated to the 1 231 diabetic amputations ( 2014) equals an annual cost to KZN DoH in excess of ZAR 398 million. Personal, family loss and socio-economic costs are estimated in excess of ZAR five million per amputee, resulting in further cost of ZAR 6.155 billion per annum to KZN. Extrapolation across 11 provinces signifies a national cost of at least ZAR 68 billion. Conclusions: We present a gauge of the cost of DMLLA to KZN and national health. Substantial possible socio-economic losses compound these. The role of podiatrists within MDTA teams has an evidence base to prevent DMLLA.

show abstract

Impact of the Alphabet Strategy on Improving Diabetes Care at a Free Health Clinic

Robinson

Lang

Clippinger

2019

Journal of Community Health Nursing

View full text Add to dashboard Cite

Improvement noted after a multifaceted approach to diabetes mellitus management

Cited by 5 publications

References 13 publications

The Magnesium and Glucose (MAG) Study: the prevalence and effect of hypomagnesaemia on diabetes control in a regional hospital in KwaZulu-Natal

The Magnesium and Glucose (MAG) Study: the prevalence and effect of hypomagnesaemia on diabetes control in a regional hospital in KwaZulu-Natal

Counting the cost of preventable diabetes-related lower limb amputations at a single district hospital in KwaZulu-Natal: what does this mean, what can be done?

Impact of the Alphabet Strategy on Improving Diabetes Care at a Free Health Clinic

Contact Info

Product

Resources

About