Early detection of poor glycemic control in patients with diabetes mellitus in sub-Saharan Africa: a cohort study in Mozambique

Autor: Ciccacci, Fausto, Manto, Andrea, Morviducci, Lelio, Lanti, Fabiana, Majid, Noorjehan, Agy, Mustafa, Massango, Cacilda, Orlando, Stefano, Guidotti, Giovanni, Cristina Marazzi, Maria
Rok vydání: 2022
Předmět:
Zdroj: African Health Sciences; Vol. 22 No. 4 (2022); 127-132
ISSN: 1729-0503
1680-6905
DOI: 10.4314/ahs.v22i4.16
Popis: Introduction: WHO estimates 422 million cases of diabetes mellitus worldwide. Mozambique has the second-highest mortality related to DM in the African region. Objectives: To provide data about a DM care service in Mozambique and to evaluate early outcomes of treatment. Methods: The new patients diagnosed with DM in a two-years period in a health centre in Maputo (Mozambique) were included in a retrospective cohort study. Fasting blood glucose (FBG), waist circumference (WC) and BMI were collected at baseline and after three months. Results: 188 patients were enrolled. Median BMI, WC and FBG at baseline were respectively 28 kg/m2(Inter Quartile Range [IQR]23.4-31.8), 98cm (IQR 87-105) and 209mg/dL (IQR 143-295). A non-pharmacological intervention was prescribed for six patients, while 182 patients received metformin 500 mg b.i.d. FBG was significantly reduced at control (226[±103.7]mg/dL vs 186[±93.2]mg/dL, p
Databáze: OpenAIRE