Les modes de révélation du diabète sucré au CHU Sylvanus Olympio de Lomé

Nemi, Komi Dzidzonu; Djalogue, Lihanimpo; Djagadou, K.A.; Tchamdja, Toyi; Tsevi, Yawovi Mawufemo; Balaka, Abago

doi:10.11604/pamj.2019.34.99.20012

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…We found 87% of type 2 diabetics against 13% of type 1. Our results are comparable to those described in our country by Mossi et al [3], Nemi et al [8] and Diomandé et al [9] in Ivory Coast who found respectively 84.12%, 75% and 89.5% of type 2 diabetes. Our results could be explained by the predominance of type 2 diabetes, which would be the prerogative of adults and the elderly, in relation to the age group most represented in our study.…”

Section: Discussionsupporting

confidence: 91%

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lomé (Togo)

Vonor¹,

Kodjo²,

Godwin³

et al. 2022

OJEMD

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Introduction: The frequency and severity of eye complications from diabetes make patient education essential, which is the basis for adequate management. What is the level of education of diabetic patients in Lomé? The aim of this study was to assess the knowledge, attitudes and practices of diabetic patients on the ocular complications of diabetes in Lomé. Methods: We conducted a cross-sectional study by surveys on diabetic patients from April 1 to June 31, 2020, in 6 diabetes management centers in Lomé. The correct response rate was established for each component. Knowledge: poor (≤ 50%), low (50% -65%), medium (65% -85%) and good (≥ 85%). Attitudes: harmful (≤ 50%), erroneous (50% -65%), approximate (65% -85%) and fair (≥ 85%). Practice: harmful (≤ 50%), inadequate (50% -65%) and adequate (>65%). Results: Over the study period, 150 patients were enrolled. The mean age was 56.98 ± 13.37 years with a sex ratio of 1.1 (79 men/71 women). The overall level of knowledge was insufficient (50.6%) with 65.5% for general knowledge about diabetes and 35.8% for ocular complications of diabetes. Attitudes were approximate (68.7%). In the case of hyperglycemia, 31.3% of patients would confide in a diabetologist and 22.0% in a general practitioner. If decrease in vision, 84.3% of patients would contact the ophthalmologist. The level of practice was harmful (20.4%). For diabetic follow-up, 36.7% of patients have already seen an ophthalmologist, 41.3% have performed a fundus examination, 17.3% retinal angiography, 4% laser retinal photocoagulation and 2.7% intravitreal injection (IVT). An awareness session on the ocular complications of diabetes was followed by 52.7% of patients and 50.7% of patients followed a therapeutic education session. Conclusion: This study has shown

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Section: Discussionsupporting

confidence: 91%

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lomé (Togo)

Vonor¹,

Kodjo²,

Godwin³

et al. 2022

OJEMD

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“…of cases [23]. This rate is close to that of Ouédraogo et al [24] and Djibril et al [25], who reported 4.8% and 6.7% strokes respectively.…”

Section: Epidemiological Aspectssupporting

confidence: 89%

Diabetic Macroangioapathy at the Internal Medicine Department of the Abass Ndao Hospital Center (About 359 Cases)

Djiby,

Boundia,

Assane

et al. 2024

JDM

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Introduction: Macroangiopathy plays an important role, with a high prevalence of morbidity and mortality in diabetic patients. The aim was to study the epidemiological, clinical, paraclinical, therapeutic and evolutionary profile of macroangiopathy in diabetic patients in the internal medicine department of the Abass Ndao hospital. Patients and methods: This was a descriptive and analytical cross-sectional study. Our investigations were recruited over a 7-year period (January 1, 2016 to December 31, 2022). Results: Three hundred and fifty-nine (359) patients (10.22%) were enrolled. The mean age was 62.83 years, with extremes ranging from 17 to 98 years. The [60 -69] age group was more representative (37.32%). Women accounted for 180 cases (50.1%), with a sex ratio (m/f) of 0.99. The average duration of diabetes was 11.86 years. Average consultation time was 38.07 days, with extremes ranging from 1 to 368 days. Average hospital stay was 7.65 days. Inaugural diabetes was noted in 12 cases (3.34%). Type 2 diabetes accounted for 95.82% (n = 344) of patients. Hypertension was present in 150 patients (41.8%). Patients with 2 risk factors accounted for 173 cases (48.18%). Nineteen patients had already had a stroke (5.29% of cases). Fourteen ( 14) patients (4.2%) were amputees. Obliterative arteriopathy of the lower limbs (AOMI) was noted in 193 patients (54%). Stroke was noted in 101 patients (28%). Ischemic heart disease (IHD) was noted in 38 patients (11%). AOMI was more common in males (110 patients, 57%) than in females (43%). Seventy-three (73) patients (20.3%) died. Predictors of death were age over 60 and the existence of more than two cardiovascular risk factors. Conclusion: Diabetic macroangiopathy is a major cause of morbidity and mortality. The development and implementation of a prevention and management program is essential.

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“…The circumstances in which diabetes mellitus is diagnosed vary between countries (7), and diagnosis may sometimes be made only when late complications occur, such as diabetic peripheral neuropathy (DPN), chronic kidney failure or diabetic retinopathy.…”

Section: Introductionmentioning

confidence: 99%

Electroneurography and peripheral neuropathy in diabetic subjects in Lubumbashi

Mande,

Mbuyamba,

Obadia

et al. 2024

Preprint

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INTRODUCTION : The practice of electroneurography is not common in Congolese environment, which makes early diagnosis of peripheral neuropathies such as those due to diabetes difficult. OBJECTIVE To characterize the electroneurography parameters of diabetic subjects in relation to neuropathic pain in comparison with non-diabetic subjects, in the city of Lubumbashi. METHODS A cross-sectional study was conducted in 51 subjects, 25 of whom were diabetic and 26 non-diabetic. Symptoms of neuropathic pain were assessed using the diabetic neuropathy scale and electroneurography tracings were recorded with the Neuro-MEP Micro version 3 device. RESULTS Neuropathic pain was significantly more frequent in diabetic subjects compared to non-diabetic subjects. Electroneurography parameters (amplitude, distal latency and nerve conduction) were significantly altered in diabetics compared to non-diabetics, exhibiting patterns of demyelinating axonal sensory and motor polyneuropathy in the lower limbs as well as focal and multifocal neuropathies. Electroneurography abnormalities not associated with clinical neuropathic pain suggested the possible existence of subclinical forms of diabetic peripheral neuropathy in diabetic subjects while those noted in non-diabetic subjects suggested neuropathic pain of other origins. CONCLUSION Electroneurography combined with the diabetic neuropathy scale can be used to classify diabetic peripheral neuropathy and detect subclinical neuropathic pain; its implementation is required in the Congolese environment. Further studies are needed to determine local references for electroneurography and electroneurography profiles in situations of multiple neuropathic exposures such as in the city of Lubumbashi.

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Les modes de révélation du diabète sucré au CHU Sylvanus Olympio de Lomé

Cited by 5 publications

References 5 publications

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lomé (Togo)

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lomé (Togo)

Diabetic Macroangioapathy at the Internal Medicine Department of the Abass Ndao Hospital Center (About 359 Cases)

Electroneurography and peripheral neuropathy in diabetic subjects in Lubumbashi

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Les modes de révélation du diabète sucré au CHU Sylvanus Olympio de Lomé

Cited by 5 publications

References 5 publications

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lom&#233; (Togo)

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lom&#233; (Togo)

Diabetic Macroangioapathy at the Internal Medicine Department of the Abass Ndao Hospital Center (About 359 Cases)

Electroneurography and peripheral neuropathy in diabetic subjects in Lubumbashi

Contact Info

Product

Resources

About

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lomé (Togo)

Knowledge, Attitudes and Practices of Diabetic Patients on Ocular Complications of Diabetes in Lomé (Togo)