Diabetes in the Western Cape, South Africa: A secondary analysis of the diabetes cascade database 2015 - 2020.
Prim Care Diabetes
; 16(4): 555-561, 2022 08.
Article
in English
| MEDLINE | ID: covidwho-1878340
ABSTRACT
AIM:
The aim was to describe the demographics, comorbidities and outcomes of care for patients with diabetes at primary care facilities in the Western Cape, South Africa, between 2015 and 2020.METHODS:
This was a secondary analysis of the diabetes cascade database.RESULTS:
The database included 116726 patients with mean age of 61.4 years and 63.8 % were female. The mean age at death was 66.0 years. Co-morbidities included hypertension (69.5 %), mental health disorders (16.2 %), HIV (6.4 %) and previous TB (8.2 %). Sixty-three percent had at least one previous hospital admission and 20.2 % of all admissions were attributed to cardiovascular diseases. Coronavirus was the third highest reason for admission over a 10-year period. Up to 70% were not receiving an annual HbA1c test. The mean value for the last HBA1c taken was 9.0%. Three-quarters (75.5 %) of patients had poor glycaemic control (HbA1c >7 %) and a third (33.7 %) were very poorly controlled (HbA1c>10 %). Glycaemic control was significantly different between urban sub-districts and rural areas. Renal disease was prevalent in 25.5 %.CONCLUSION:
Diabetes was poorly controlled with high morbidity and mortality. There was poor compliance with guidelines for HbA1c and eGFR measurement. At least 7% of diabetic patients were being admitted for complications annually.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Diabetes Mellitus
/
Hyperglycemia
/
Hypertension
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
Limits:
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Africa
Language:
English
Journal:
Prim Care Diabetes
Journal subject:
Endocrinology
Year:
2022
Document Type:
Article
Affiliation country:
J.pcd.2022.05.011
Similar
MEDLINE
...
LILACS
LIS