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Baseline profile of adults living with type 2 diabetes enrolled in a dietary intervention study in a hospital in Kenya


Mercy Mwito
Albanus Mutisya
Florence Kyallo
Zipporah Bukania

Abstract

Type 2 diabetes (T2D) remains a health burden globally and locally, with rising prevalence and complications that impact healthcare systems and individual quality of life. Understanding the profile of individuals living with T2D can inform clinical and dietary interventions.This crosssectional analysis formed part of a broader dietary interventions study among adults living with T2D. The study involved 32 participants selected using convenience sampling from the diabetes clinic at Gatundu Level V Hospital in Kiambu County, Kenya. The participants were predominantly female (70%), aged between 45–54 years (43.3%).The mean Body Mass Index was 27.4±4.3 kg/m², with the majority being overweight (40.0%) or obese (26.7%). Mean waist hip ratio was 0.93±0.07 in females and 0.97±0.07 in males. Mean waist circumference was 96.5± 9 and 96.2±12 among males and females, respectively. Mean glycated hemoglobin (HbA1c) was 9.8 ± 2.6% and fasting blood glucose at 10.6 ± 2.8 mmol/L. All the participants were on oral hypoglycemics, with over half (53.3%) receiving Metformin monotherapy, while 43.3% were on combined therapies, mostly Metformin and Sulfonylurea. Only 60% reported adherance to prescribed medications. Hypertension was the most frequent comorbidity affecting 60% of the participants, and blood pressure was poorly controlled with mean systolic and diastolic pressures of 142.8 ± 15.4 and 84.7 ± 8.5 mmHg, respectively. About 70% of participants reported moderate levels of stress, and physical activity assessment showed that 26.7% of participants were insufficiently active, while 73.3% achieved sufficient activity levels.The study highlights significant gaps in management of T2D, including inadequate weight control, central obesity, and poor glycemic control among majority of the participants. The use of combined therapies suggests disease progression and health system constrains, and although most participants adhered to oral hypoglycemics, high medication costs posed a barrier to optimal care. There is need for integrated, patient-centred care models.


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eISSN: 1561-7645