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

作     者：Boundia Djiba Nafissatou Diagne Demba Diédhiou Coumba Mbayar Diouf Djibi Sow Mohamed Dieng Michel Assane Ndour Awa Cheikh Ndao Atoumane Faye Maimouna Sow Baidy Sy Kane Abdoulaye Pouye Boundia Djiba;Nafissatou Diagne;Demba Diédhiou;Coumba Mbayar Diouf;Djibi Sow;Mohamed Dieng;Michel Assane Ndour;Awa Cheikh Ndao;Atoumane Faye;Maimouna Sow;Baidy Sy Kane;Abdoulaye Pouye

作者机构：Faculty of Medicine Cheikh Anta Diop University Dakar Senegal 

出 版 物：《Open Journal of Internal Medicine》 (内科学期刊（英文）)

年 卷 期：2023年第13卷第4期

页      面：395-407页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Type 2 Diabetes Complications Decentralization Mbour 

摘      要：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.