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Poor glycemic control in type 2 diabetes in the South of the Sahara: The issue of limited access to an HbA1c test

Lookup NU author(s): Dr Eugene Sobngwi


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Background: Management of type 2 diabetes remains a challenge in Africa. The objective of this study was to evaluate the prevalence and predictors of poor glycemic control in patients with type 2 diabetes living in sub-Saharan.Patients and methods: This was a cross-sectional study involving 1267 people (61% women) with type 2 diabetes (mean age 58 years) recruited across health facilities in Cameroon and Guinea. Predictors of poor glycemic control (HbA1c >= 7.0% (53 mmol/mol)) were investigated via logistic regressions.Results: The mean body mass index was 27.4 +/- 5.8 kg/m(2), and 74% of patients had poor glycemic control. Predictors of poor glycemic control in multivariable regression models were recruitment in Guinea [odd ratio: 2.91 (95% confidence interval 2.07 to 4.11)], age <65 years [1.40 (1.04 to 1.88)], diabetes duration >= 3 years [2.36 (1.74 to 3.21)], treatment with: oral glucose control agents [3.46 (2.28 to 5.26)], insulin alone or with oral glucose control agents [7.74 (4.70 to 12.74)] and absence of a previous HbA1c measurement in Guinea [2.96 (1.30 to 6.75)].Conclusion: Poor control of blood glucose is common in patients with type 2 diabetes in these two countries. Limited access to HbA1c appears to be a key factor associated with poor glycemic control in Guinea, and should be addressed by health policies targeting improvement in the outcomes of diabetes care. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

Publication metadata

Author(s): Camara A, Balde NM, Sobngwi-Tambekou J, Kengne AP, Diallo MM, Tchatchoua APK, Kake A, Sylvie N, Balkau B, Bonnet F, Sobngwi E

Publication type: Article

Publication status: Published

Journal: Diabetes Research and Clinical Practice

Year: 2015

Volume: 108

Issue: 1

Pages: 187-192

Print publication date: 01/04/2015

Online publication date: 16/09/2014

Acceptance date: 29/08/2014

ISSN (print): 0168-8227

ISSN (electronic): 1872-8227

Publisher: Elsevier


DOI: 10.1016/j.diabres.2014.08.025


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