Open Journal of Internal Medicine

Volume 13, Issue 4 (December 2023)

ISSN Print: 2162-5972   ISSN Online: 2162-5980

Google-based Impact Factor: 0.49  Citations  

Decentralised Management of Type 2 Diabetes in a Decentralised Centre for the Management of Type 2 Diabetes

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DOI: 10.4236/ojim.2023.134035    54 Downloads   194 Views  

ABSTRACT

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.

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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.

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