Title: Quality of diabetic care in a tertiary health care facility in Ilorin, Nigeria.
Abstract: Nigeria SUMMARY In patients with type 2 diabetes, the risk of diabetic complications is strongly associated with previous hyperglycemia. In Nigeria, the incidence of type 2 diabetes mellitus and its complications is on the increase. The objective of this study was to assess the quality of diabetic care for type 2 diabetes mellitus patients at our health care facility. This crosssectional study included type 2 diabetic patients attending Diabetic Clinic, Ilorin University Teaching Hospital. Glycated hemoglobin (HbA 1c ) as an index of medium term glycemic control was assayed in established type 2 diabetics. The results obtained were evaluated against the American Diabetes Association target goal of HbA 1c of 7.0%. There were 56% of female subjects aged ≥40. Only 4% of patients were aged <40. In 72% of patients, the duration of diabetes was less than 10 years. Body mass index (BMI) greater than 30 kg/m 2 was only recorded in female patients, and HbA 1c <7% in 36% of study patients. The mean HbA 1c level was 8.0% in diabetic patients and 4.99% in control subjects. The mean HbA 1c level was 7.4% (SD=1.48) and 8.7% (SD=2.57) in female and male patients, respectively. The mean (± SD) fasting plasma glucose was 4.93±1.09 mmol/L in control subjects and 8.5±4.2 mmol/L in diabetic patients. In conclusion, the quality of care in our health care facility (with 36% of our patients achieving HbA 1c target level of <7%) was comparable to that in western countries. However, there is considerable room for improvement. Furthermore, diabetics in our environment with the mean HbA 1c level of 8.0% are prone to developing complications.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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Cited By Count: 4
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