Micro and macrovascular complications of diabetes mellitus in cameroon: risk factors and effect of diabetic check-up - a monocentric observational study

Tamba, SM; Ewane, ME; Bonny, Andrea E.; Muisi, CN; Nana, Emmeleia; Ellong, A.; Mvogo, CE

doi:10.11604/pamj.2013.15.141.2104

Cited by 13 publications

(15 citation statements)

References 25 publications

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“…Compared to age group of 15 -29 year diabetics there was higher risk of chronic complications for those who were in age groups of 45 -64 and ≥65 year diabetics. This finding is congruent with studies done in china, Libya and camerone [13]- [15]. And this study showed, diabetic patient with >10 year duration since the time of diabetes diagnosis were 2.87 times more likely to develop chronic complications than those <5 years duration of diabetes.…”

Section: Discussionsupporting

confidence: 91%

“…In addition, chronic complications affect working-age diabetes which leads to low productivity and then contribute to poverty [13]. In a country with lowest per capita income like Ethiopia, chronic complications pose even worse threat from economic standpoint [12].…”

Section: Introductionmentioning

confidence: 99%

“…Various factors including type II diabetes mellitus [8], duration of diabetes [14], poorly controlled cases and dyslipidemia [13] have been known to increase the risk of chronic complications. In China the prevalence of chronic diabetic complications have been reported to increase with age [14] [15].…”

Section: Introductionmentioning

confidence: 99%

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Coexistence of Chronic Complications among Diabetic Patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia

Tesfaye¹,

Tessema²,

Taha³

2015

OALib

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Background: Chronic complications reduce quality of life, increases diabetes related mortality and overburden the public health services. This study aims to assess the prevalence of chronic complications and its associated factors among diabetic patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia. Method and Materials: We conducted a hospital based cross-sectional study. A simple random sampling technique was used to select 266 participants from the follow up clinic of the hospital. Data were collected using semi structured questionnaire, weight, height, waist and hip circumference measurements and patients chart review. Descriptive statistics was used to describe the study variable. Bivariate and multivariate logistic regression analysis was used to identify factors associated with chronic diabetic complications. Result: Out of 247 diabetic subjects, 114 (46.2%) were found to have at least one chronic complication that included, hypertension 59 (23.9%), diabetes related eye disease 29 (11.7%), neuropathy 25 (10.1%) and nephropathy 16 (6.5%). were also strongly associated with chronic complications of diabetes mellitus. Conclusion and Recommendation: Considerable number of diabetic participants in this study area had at least one chronic complication. Attention should be given to older diabetic patients and longer diabetic duration. Diabetic education should focus on health benefit of self-monitoring of blood glucose.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Coexistence of Chronic Complications among Diabetic Patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia

Tesfaye¹,

Tessema²,

Taha³

2015

OALib

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“…This has led health care professionals to focus on prevention as well as the identification of modifiable risk factors [17]. Studies suggest that numerous risk factors are responsible for DPN in DM patients including age, gender, duration of diabetes, the presence of microvascular complications, hypertension, area of residence, body mass index, glycated haemoglobin (HbA1c) level, alcohol intake, hyperglycaemia, cigarette smoking, physical inactivity, and marital status [12,[18][19][20][21][22][23][24][25].…”

mentioning

confidence: 99%

Prevalence of diabetic peripheral neuropathy in Africa: a systematic review and meta-analysis

et al. 2020

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Background: Diabetes mellitus (DM) is a global health care problem that can impose a substantial economic burden. Diabetic peripheral neuropathy (DPN) is a common microvascular complication of DM that increases the potential for morbidity and disability due to ulceration and amputation. Though there is a significant amount of variation in the primary studies on DM regarding the prevalence of DPN in Africa. Hence, this study was aimed to estimate the overall prevalence of DPN in DM patients in Africa. Methods: PubMed, Scopus, Google Scholar, African Journals OnLine, WHO African Library, and the Cochrane Review were systematically searched online to retrieve related articles. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines was followed. Heterogeneity across the included studies was evaluated by the inconsistency index (I 2 ). Publication bias was examined by funnel plot and Egger's regression test.The random-effect model was fitted to estimate the pooled prevalence of diabetic peripheral neuropathy among patients in Africa. The meta-analysis was performed using the STATA™ Version 14 software. Results: Twenty-three studies which includes 269,691 participants were included in the meta-analysis. The overall pooled prevalence of diabetic peripheral neuropathy was 46% (95% CI:36.21-55.78%). Based on the subgroup analysis, the highest prevalence of diabetic peripheral neuropathy in DM patients was reported in West Africa at 49.4% (95% CI: 32.74, 66.06). Conclusion: This study revealed that the overall prevalence of diabetic peripheral neuropathy is relatively high in Africa. Hence, DPN needs situation-based interventions and preventive strategies, which are specific to the country. Further meta-analysis is needed to identify associated factors for the occurrence of diabetic peripheral neuropathy.

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“…Several studies have observed that poor glycaemic control, obesity, hypertension, dyslipidaemia, physical inactivity, microalbuminuria, smoking etc. are contributory risk factors of macrovascular diseases [14][15][16][17][18] .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Macrovascular Complications and Their Associated Risk Factors Among Type 2 Diabetic Patients Attending In A Tertiary Level Hospital

Islam¹,

Hoque²,

Khatun³

et al. 2017

KYAMC j.

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Background: Macrovascular complications cause much of the serious morbidity and mortality in patients with diabetes. The aim of the study was to determine the prevalence and risk factors of different macrovascular complications among type 2 diabetic patients.Materials and Methods: We studied two fifty cases of type 2 diabetic patients in this cross-sectional study which was conducted in the out-patient department of BIRDEM hospital, Bangladesh. The randomly selected patients were evaluated for the presence of coronary heart diseases (CHD), stroke and peripheral vascular diseases (PVD) through the review of their registered diabetic guide book. We included sociodemographic information, blood pressure, anthropometry (height, weight, body mass index) and lipid profile of the patients. Glycaemic status was assessed by HbA1c (HbA1c was categorized into 3 groups) and plasma glucose levels. We used logistic regression analysis to determine and quantify the association of CHD, stroke and PVD with various risk factors. Results: Two hundred and fifty cases of type 2 diabetic patients (male 129 and female 121 were studied. The prevalence of macro-vascular complications was 28.8%. Among them CHD was 21.2% (95% CI: 16.13- 26.27%), stroke in 8.4% (95% CI: 4.96-11.84%) and PVD in 7.2% (95% CI: 4-10.4%). Logistic regression models showed that macrovascular complications were more common in females; the risk increased significantly with age, longer duration of diabetes, lacking of physical exercise, presence of hypertension, HbA1c, Fasting Blood Glucose (FBG) and blood glucose 2 hours ABF.Conclusions: CHD is the most common macrovascular complication among type 2 DM patients. Advanced age, longer duration of diabetes, hypertension, poor glycaemic control, lacking of physical exercise etc. are significant risk factors of macrovascular complications in type 2 diabetic patients.KYAMC Journal Vol. 7, No.-1, Jul 2016, Page 662-667

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Micro and macrovascular complications of diabetes mellitus in cameroon: risk factors and effect of diabetic check-up - a monocentric observational study

Cited by 13 publications

References 25 publications

Coexistence of Chronic Complications among Diabetic Patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia

Coexistence of Chronic Complications among Diabetic Patients at Nigist Eleni Mohammed Memorial Hospital, Hossana, South Ethiopia

Prevalence of diabetic peripheral neuropathy in Africa: a systematic review and meta-analysis

Prevalence of Macrovascular Complications and Their Associated Risk Factors Among Type 2 Diabetic Patients Attending In A Tertiary Level Hospital

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