Treatment to targets in type 2 diabetics: analysis of out-patients practice at a remote Western Nigerian hospital

E. Ajayi, A. O. Ajayi, Oe Olalekan
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引用次数: 5

Abstract

Diabetes mellitus (DM) is a leading cause of morbidity and mortality all over the world. Tight control of diabetes in the outpatients will reduce complications and hospitalizations. This study of Nigerian patients with diabetes examined the adequacy of glycemic and BP control in line with current guidelines. A 4 month retrospective analysis of type 2 diabetics attending Medical Outpatients Department (MOPD) of Federal Medical Centre, Ido Ekiti, Ekiti State, Nigeria between June and September 2008 was carried out using medical records of the patients. SPSS 13 software was used to analyze data. Data are expressed as mean ± Standard Deviation (SD) and frequency expressed as a percentage where necessary. A total of 308 type 2 diabetes mellitus patients, aged between 35 and 85 years were analyzed. Their mean age was 60.90 ± 11.60years. There were 125 males (40.6%) and 183 females (59.4%) giving an M: F ratio of 1:1.46. Mean duration of clinic attendance was 26.18 ± 24.46 months. Glycemic control was achieved in only about a third of the patients (29.3% and 32.5% using IDF-Europe and ADA criteria respectively). Blood pressure control was achieved in 24.5% and 48.7% had BMI ≥ 25kg/m2. No correlation between mean fasting plasma glucose (FPG) and body mass index (BMI). Frequencies of insulin and low dose aspirin use were low (5.3% and 37% respectively). The results from this study showed poor control of blood glucose, BP and weight in the patients. We are of the opinion that current practices are not aggressive enough to manage a substantial proportion of type 2 diabetes patients. KEY WORDS: Diabetes mellitus; Glycemic control; BP control
治疗2型糖尿病的目标:分析在尼日利亚西部偏远医院门诊病人的做法
糖尿病(DM)是全世界发病率和死亡率的主要原因。严格控制门诊患者的糖尿病,可减少并发症和住院。这项针对尼日利亚糖尿病患者的研究检查了血糖和血压控制是否符合现行指南。利用患者的医疗记录,对2008年6月至9月期间在尼日利亚埃基蒂州伊多埃基蒂联邦医疗中心医疗门诊部就诊的2型糖尿病患者进行了为期4个月的回顾性分析。采用SPSS 13软件对数据进行分析。数据以平均值±标准差(SD)表示,必要时以百分比表示频率。对308例年龄在35 ~ 85岁的2型糖尿病患者进行分析。平均年龄60.90±11.60岁。男性125例(40.6%),女性183例(59.4%),M: F比为1:1.46。平均就诊时间为26.18±24.46个月。只有约三分之一的患者实现了血糖控制(分别使用idf -欧洲和ADA标准为29.3%和32.5%)。BMI≥25kg/m2的患者血压得到控制的占24.5%,BMI≥25kg/m2的患者血压得到控制的占48.7%。平均空腹血糖(FPG)与体重指数(BMI)无相关性。胰岛素和小剂量阿司匹林的使用频率较低(分别为5.3%和37%)。本研究结果显示,患者血糖、血压和体重控制较差。我们认为,目前的做法还不够积极,不足以管理相当比例的2型糖尿病患者。关键词:糖尿病;血糖控制;英国石油公司控制
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