Abstract:
BACKGROUND:Primary care physicians (PCPs) are the main providers of diabetes care especially in resource-limited countries which experience extreme shortage of specialists. The present study aimed to evaluate PCPs' approach towards diabetes mellitus (DM) diagnosis, evaluation and management in Cameroon. METHODS:We carried-out a cross-sectional survey in February 2012 in the West Region of Cameroon. Using a structured pretested questionnaire, we interviewed all PCPs working in the region who were present at their working place when the investigators visited, and volunteered to be enrolled in the study. RESULTS:Sixty-six PCPs were interviewed. Their ages ranged from 24 to 56 years (mean 38.3, standard deviation 9.2 years). The levels of knowledge of PCPs regarding DM diagnosis were: 72.7%, 37.9%, 19.7% and 32.8% respectively obtained when using fasting plasma glucose, post-prandial glycemia, random glycemia and glycated hemoglobin as diagnostic tools. Only 6 PCPs (9.9%) prescribed the correct minimal work-up to evaluate diabetes patients at diagnosis. PCPs advised lifestyle modifications in 92.4% of cases, and thirty nine (53.1%) PCP's used to prescribe both generic and specialty oral anti-diabetic drugs in case of uncomplicated type 2 DM management. The two main classes of anti-diabetic drugs prescribed were biguanides (77.3%) and sulfonamides (60.6%). Nearly all PCPs (97%) used to give frequent follow-up appointments to their patients. Ninety eight point five percent of participants were willing to receive any further continuous training on DM management. CONCLUSION:PCPs knowledge and practices towards diabetes mellitus diagnosis, evaluation and management were not optimal, stressing the need to improve their capacities regarding diabetes care. As such, more educational initiatives should be taken on, alongside regular upgrade and dissemination of clinical guidelines.
journal_name
BMC Endocr Disordjournal_title
BMC endocrine disordersauthors
Jingi AM,Nansseu JR,Noubiap JJdoi
10.1186/s12902-015-0016-3subject
Has Abstractpub_date
2015-04-04 00:00:00pages
18issn
1472-6823pii
10.1186/s12902-015-0016-3journal_volume
15pub_type
杂志文章abstract:BACKGROUND:Insulin resistance and diabetes are associated with increased oxidative stress and impairment of cellular defence systems. Our purpose was to investigate the interaction between glucose metabolism, antioxidative capacity and heat shock protein (HSP) defence in different skeletal muscle phenotypes among middl...
journal_title:BMC endocrine disorders
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doi:10.1186/1472-6823-8-3
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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doi:10.1186/s12902-015-0058-6
更新日期:2015-10-24 00:00:00
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1186/s12902-017-0162-x
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pub_type: 杂志文章,meta分析,评审
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更新日期:2020-01-28 00:00:00
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doi:10.1186/1472-6823-9-16
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pub_type: 杂志文章,随机对照试验
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/1472-6823-9-8
更新日期:2009-02-25 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2019-02-13 00:00:00
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pub_type: 杂志文章,评审
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