AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
![]() ![]() ![]() Also, screening for diabetic kidney disease should be performed at diagnosis and subsequently on an annual basis for individuals with type 2 DM using the urine albumin-to-creatinine ratio and estimated glomerular filtration rate (eGFR). At each of these visits, it is recommended that weight, body mass index for cardiovascular risk if appropriate, blood glucose and blood pressure measurements be carried out during patients’ assessments by nurses or nursing assistants. 8, 9 Specifically, in this study setting, individuals with type 2 DM are provided with a monthly drug supply and are expected to visit the clinic periodically for drug refills and assessments in the absence of urgent medical conditions. Treatment guidelines, including those of the Society of Endocrinology, Metabolism and Diabetes of South Africa (SEMDSA) and the South African Primary Health Care guidelines, strongly emphasise the need for regular screening for diabetes complications to improve treatment outcomes. 3, 4, 5 Consequently, individuals are predisposed to microvascular and macrovascular complications, resulting in a reduced quality of life, an increased risk of premature mortality and increased healthcare expenditure. 1 In South Africa (SA), 12.8% of the adult population lives with diabetes, 2 and a significant proportion of them have uncontrolled diabetes, compounded by the presence of other comorbidities. Backgroundĭiabetes mellitus (DM) is a serious public health concern associated with significant morbidity, mortality and disability. Keywords: diabetes primary healthcare screening diabetes-related complications South Africa. Also, interventions to improve diabetes complication screening in the region are needed and should target the primary healthcare providers. Studies to understand barriers to and facilitators of DM complications screening at PHCs are required. About two-thirds of the participants (59.9%) had not undergone any form of complication screening in the past year, and none had undergone the complete screening panel.Ĭonclusion: The coverage of screening for DM complications was low across all indicators. In total, 52 (14.0%) had carried out eye examinations, while only 9 (2.3%) had undergone foot examinations in the past year. In the past year, HbA1c result was available for 71 (19.1%) of the participants 60 (16.1%) had eGFR results, while only 33 (8.9%) had documented lipid results. Results: Participants mean age was 62 (standard deviation ± 11) years, and their mean duration of diagnosis was 9 (s.d. We assessed the extent of screening for estimated glomerular filtration rate (eGFR), fasting lipogram, eye examination, foot examination and glycated hemoglobin (HbA1c) in the past year. Demographic and clinical data were obtained through questionnaire-based interviews and reviews of medical records. Methods: The study adopted a descriptive, cross-sectional design and obtained data from 372 individuals with type 2 diabetes attending six selected primary healthcare centres (PHCs) in two EC districts. This study assesses the extent of screening for DM complications among individuals with type 2 DM attending primary health facilities in rural Eastern Cape (EC), SA. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.īackground: There is a paucity of data on the coverage of diabetes mellitus (DM) complications screening in primary healthcare facilities in South Africa (SA). Ĭoverage of diabetes complications screening in rural Eastern Cape, South Africa: A cross-sectional surveyĮyitayo O. Coverage of diabetes complications screening in rural Eastern Cape, South Africa: A cross-sectional survey. Owolabi EO, Goon DT, Ajayi AI, Adeniyi OV, Chu KM. ![]()
0 Comments
Read More
Leave a Reply. |