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Prevalence of chronic complications of type 2 diabetes mellitus in a secondary health centre in Niger Delta, Nigeria

机译:尼日利亚尼日尔三角洲二级保健中心的2型糖尿病慢性并发症患病率

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Background: Type 2 diabetes mellitus (T2DM) in Nigeria is believed to rapidly be on the increase despite its awareness. Its related chronic complications is also expanding leading to reduction in the quality of life of patients, incurring heavy burdens to the health care system, loss of man hours from work and increasing diabetic mortality. Current information on the prevalence of chronic complications and its related clinical characteristics in Niger Delta area is scarce. The aim of this study was to determine the prevalence of chronic complications of type 2 diabetes mellitus in a secondary health Centre in Niger Delta, with the objective of relating the effect of age and gender with these complications as well as determining their glycemic control. Methods: 200 consenting adult diabetics 96 (48%) males and 104 (52%) females, who have been attending the diabetic clinics for at least 12 months, were randomly recruited for the study. Hospital records, questionnaire and laboratory investigations were used to collect the demographic, clinical data as well as values of fasting blood sugar, urea, creatinine, lipids, urine microalbumin and glycated hemoglobin for all subjects. Results: Of the 200 T2DM patients evaluated for chronic complications, 130 (65%) presented with one form of complication varying from nephropathy (58%), dyslipidemia (57%), hypertension (48%), neuropathy (14%) and retinopathy (9%) with 104 (52%) having more than two categories concurrently. chronic complications varied with gender as well as age. Conclusions: Chronic complications are common among type 2 diabetes in central hospital Warri, Nigeria. Implementation of timely and appropriate screening strategies could decrease the burden of diabetes chronic complications.
机译:背景:尽管人们对尼日利亚的2型糖尿病(T2DM)有所了解,但仍在迅速增加。其相关的慢性并发症也正在扩大,导致患者生活质量下降,给卫生保健系统带来沉重负担,工作时间减少,糖尿病死亡率增加。关于尼日尔三角洲地区慢性并发症的流行及其相关临床特征的最新信息很少。这项研究的目的是确定尼日尔三角洲二级保健中心的2型糖尿病慢性并发症的患病率,目的是将年龄和性别与这些并发症的影响联系起来,并确定其血糖控制。方法:随机招募了200名同意接受糖尿病治疗且至少在12个月内就诊的成人糖尿病患者,其中男性为96(48%),女性为104(52%)。医院记录,问卷调查和实验室检查均用于收集所有受试者的人口统计学,临床数据以及空腹血糖,尿素,肌酐,脂质,尿微量白蛋白和糖化血红蛋白的值。结果:在评估为慢性并发症的200例T2DM患者中,有130例(65%)表现出一种并发症,包括肾病(58%),血脂异常(57%),高血压(48%),神经病(14%)和视网膜病变(9%),其中104(52%)个同时具有两个以上类别。慢性并发症随性别和年龄而变化。结论:慢性并发症在尼日利亚中央医院Warri的2型糖尿病中很常见。及时和适当的筛查策略的实施可以减轻糖尿病慢性并发症的负担。

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