Specificity of Diabetes in Central Hospital Nampula, Mozambique
Madhumati Varma*
Ministry of health Mozambique, Central Hospital Nampula, Mozambique
Submission: March 23, 2017; Published: April 25, 2017
*Corresponding author: Madhumati Varma, Ministry of health Mozambique, Central Hospital Nampula, Mozambique, Tel: 00258828280864; Email: madhumativarma@gmail.com
How to cite this article: Madhumati V. Specificity of Diabetes in Central Hospital Nampula, Mozambique. Blood Res Transfus J. 2017; 1(2): 555557.
- Short Communication
- Introduction
- Methods
- Results
- Discussion
- Conclusion
- References a href="#references">References
Introduction
The patient of diabetes in Central hospital Nampula, had been increasing day by day. There were seen effect of education on control of diabetes in OPD of Diabetes in hospital Central Nampula. During study, detailed demographic parameter of patients were taken which has it owns specificity and importance.
Methods
There were 648 of the patients of diabetes mellitus taken for study in out-patient consultation of diabetic clinic in hospital central Nampula, participates evaluated for age, sex, type of Diabetes, complication and type of treatment taken. The information taken before starting 1st session of education.
Results
The present study found that educational intervention of diabetes had the highest prevalence of diabetes in 41 to 60 years of age group (54.5%), the percentage of patients with male higher (56%) then female (42.1%) , diabetes mellitus type 2 had the highest prevalence (87.5%) compared to diabetes mellitus type 1 (5.1%), Hypertension was the most frequently complication of diabetes mellitus (39.7%); the least frequently complication was diabetic gastropathy (0.2%) and oral anti-diabetic medications (28.9%) more frequent used compared to insulin (15.0%) and diet-alone for control of diabetes(7.4%).
Discussion
Age
The percentage of patients with 1-20 years of age (3.2%), 21 to 40 years of age (17 %), 41 to 60 years of age (54.5%), 61 to 80 years of age (20.4 %), 81 to 100 years of age (.5 %) and missing information (3.5 %). In sub-Saharan Africa age 20-44 and 45-64 years more frequent in diabetes [1,2].
Sex
The percentage of patients with male higher (56%) then female (42.1%) and missing information of (1.9 %). Compared with study in south Africa similar frequency of diabetes in both sex [3].
Type of diabetes
The results showed that diabetes mellitus type 2 had the highest prevalence (87.5%) compared to diabetes mellitus type 1 (5.1%). The diabetes pandemic, consisted mainly of type 2 mentioned by previous study [4].
Complication
Hypertension was the most frequently complication among patients of diabetes mellitus (39.7%); the least frequently reported was diabetic gastropathy (0.2%). Previous studies showed that, the cardiovascular disease (CVD) is the most significant cause of death in the diabetic population [5].
Type of treatment
Type of treatment were oral anti-diabetic medications (28.9%), insulin (15.0%) and diet- only control (7.4%) (Figure 1).
Conclusion
The present study found that during educational intervention on diabetic patients, also taken basic data on demographics which showed, highly prevalence of age 41-60 years, male predominant compare to female, type 2 diabetes high percentage as compared to type 1 diabetes, most frequent complication hypertension, and most frequent patients controlled their diabetes on oral hypoglycemic agents.
References
- King H, Aubert RE, Herman WH (1998) Global Burden of Diabetes, 1995-2025: Prevalence, Numerical Estimates, and Projections. Diabetes Care 21(9): 1414-1431.
- Azevedo M, Sridevi Alla (2008) Diabetes in Sub-Saharan Africa: Kenya, Mali, Mozambique, Nigeria, South Africa and Zambia. Int J Diabetes Dev Ctries 28(4): 101-108.
- Hilawe EH, Yatsuya H, Kawaguchi L, Aoyama A (2013) Differences by sex in the prevalence of diabetes mellitus, impaired fasting glycaemia and impaired glucose tolerance in sub-Saharan Africa: a systematic review and meta-analysis. Bull World Health Organ 91(9): 671-682D.
- Mbanya JC, Ramiaya K (2006) Diabetes Mellitus. In: Jamison DT, Feachem RG, et al. (Eds) Disease and Mortality in Sub-Saharan Africa. (2nd edn), The international Bank for Reconstruction and Development, USA.
- Amelia Catharine (2016) Hypertension and diabetes in Africa: design and implementation of a large population-based study of burden and risk factors in rural and urban Malawi. Emerg Themes Epidemiol 13: 3.