Browse by author
Lookup NU author(s): Dr Eugene Sobngwi
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
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.
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
URL: http://dx.doi.org/10.1016/j.diabres.2014.08.025
DOI: 10.1016/j.diabres.2014.08.025
Altmetrics provided by Altmetric
