Author(s)

Boundia Djiba, Nafissatou Diagne, Demba Diédhiou, Coumba Mbayar Diouf, Djibi Sow, Mohamed Dieng, Michel Assane Ndour, Awa Cheikh Ndao, Atoumane Faye, Maimouna Sow, Baidy Sy Kane, Abdoulaye Pouye

Faculty of Medicine, Cheikh Anta Diop University, Dakar, Senegal.

Introduction: Diabetes mellitus is a heterogeneous metabolic disorder characterized by the presence of chronic hyperglycemia due to a lack of secretion and/or action of insulin on the target tissues. Type 2 diabetes accounts for 90% of all diabetics. Despite the few specialists, there is a policy of decentralization of these patients. Patients and Methods: This was a retrospective cross-sectional study of the records of diabetic subjects followed in ambulatory at the internal medicine department of the EPS of Mbour. The recruitment of our patients took place over a period of sixty-three (63) days (from 03 May 2021 to 05 July 2021). Results: During the study period we collected 163 patients and most of those were female with a sex ratio of 0.68. The most represented age group was 46 - 55 years; 82.8% of patients came from Mbour. Diabetes was initially discovered in 65 patients (39.9%) and known in 98 patients. 72 patients in our population had previous follow-ups in a health facility; Almost all of the 146 patients had at least one FDR of T2D, i.e. 89.6%. Cardiovascular risk factors were present in 96 patients. The majority of patients (138) came for simple follow-up, 11 for acute complications and 16 for chronic complications. 36 patients in our population had at least one microangiopathic complication of diabetes, 18 a macroangiopathic complication and 18 an infectious complication. In our study, 102 patients had a very high cardiovascular risk, 42 patients had a high risk, and 19 patients had a moderate risk. Conclusion: Diabetes is a real public health emergency because of its magnitude and complications. A strengthening of the policies of decentralization of the management will allow better management of patients who are not from Dakar.

Type 2 Diabetes, Complications, Decentralization, Mbour

Djiba, B. , Diagne, N. , Diédhiou, D. , Diouf, C. , Sow, D. , Dieng, M. , Ndour, M. , Ndao, A. , Faye, A. , Sow, M. , Kane, B. and Pouye, A. (2023) Decentralised Management of Type 2 Diabetes in a Decentralised Centre for the Management of Type 2 Diabetes. Open Journal of Internal Medicine, 13, 395-407. doi: 10.4236/ojim.2023.134035.