Gaps in the type 2 diabetes care cascade: a national perspective using South Africa’s National Health Laboratory Service (NHLS) database

Autor: Alana T. Brennan, Evelyn Lauren, Jacob Bor, Jaya A. George, Kamy Chetty, Koleka Mlisana, Andrew Dai, Siyabonga Khoza, Sydney Rosen, Andrew C. Stokes, Frederick Raal, Patricia Hibberd, Sara M. Alexanian, Matthew P. Fox, Nigel J. Crowther
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Health Services Research, Vol 23, Iss 1, Pp 1-13 (2023)
Druh dokumentu: article
ISSN: 1472-6963
23750960
DOI: 10.1186/s12913-023-10318-9
Popis: Abstract Background Research out of South Africa estimates the total unmet need for care for those with type 2 diabetes mellitus (diabetes) at 80%. We evaluated the care cascade using South Africa’s National Health Laboratory Service (NHLS) database and assessed if HIV infection impacts progression through its stages. Methods The cohort includes patients from government facilities with their first glycated hemoglobin A1c (HbA1c) or plasma glucose (fasting (FPG); random (RPG)) measured between January 2012 to March 2015 in the NHLS. Lab-diagnosed diabetes was defined as HbA1c ≥ 6.5%, FPG ≥ 7.0mmol/l, or RPG ≥ 11.1mmol/l. Cascade stages post diagnosis were retention-in-care and glycaemic control (defined as an HbA1c
Databáze: Directory of Open Access Journals
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