Poor glycemic control in type 2 diabetes in the South of the Sahara: The issue of limited access to an HbA1c test

Abstract Background Management of type 2 diabetes remains a challenge in Africa. The objective of this study was to evaluate the prevalence and predictors of poor glycemic control in patients with type 2 diabetes living in sub-Saharan. Patients and methods This was a cross-sectional study involving...

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Bibliographic Details
Published in:Diabetes research and clinical practice 2015-04, Vol.108 (1), p.187-192
Main Authors: Camara, Alioune, Baldé, Naby M, Sobngwi-Tambekou, Joelle, Kengne, André P, Diallo, Mansour M, Tchatchoua, Alain P.K, Kaké, Amadou, Sylvie, Ngamani, Balkau, Beverley, Bonnet, Fabrice, Sobngwi, Eugène
Format: Article
Language:English
Subjects:
Blood Glucose - analysis
Blood Glucose Self-Monitoring - methods
Body Mass Index
Cameroon - epidemiology
Cross-Sectional Studies
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - epidemiology
Endocrinology & Metabolism
Female
Glycated Hemoglobin A - analysis
Glycemic control
Guinea - epidemiology
Humans
Life Sciences
Male
Middle Aged
Odds Ratio
Prevalence
Retrospective Studies
Sub-Saharan Africa
Type 2 diabetes
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Summary:Abstract Background Management of type 2 diabetes remains a challenge in Africa. The objective of this study was to evaluate the prevalence and predictors of poor glycemic control in patients with type 2 diabetes living in sub-Saharan. Patients and methods This was a cross-sectional study involving 1267 people (61% women) with type 2 diabetes (mean age 58 years) recruited across health facilities in Cameroon and Guinea. Predictors of poor glycemic control (HbA1c ≥7.0% (53 mmol/mol)) were investigated via logistic regressions. Results The mean body mass index was 27.4 ± 5.8 kg/m2 , and 74% of patients had poor glycemic control. Predictors of poor glycemic control in multivariable regression models were recruitment in Guinea [odd ratio: 2.91 (95% confidence interval 2.07 to 4.11)], age
ISSN:0168-8227
1872-8227
DOI:10.1016/j.diabres.2014.08.025