Outcomes of type 2 diabetes care in a tertiary hospital in the Federal Capital Territory, Nigeria

Abstract

Diabetes mellitus (DM) is a metabolic disease and monitoring of biochemical parameters like Low Density Lipoproteins (LDL), High Density Lipoproteins (HDL), total cholesterol, triglyceride, HbAIc and anthropometric indices, blood pressure, may reduce complications associated with it. The objective of the study is to assess the clinical outcome of diabetes care in a tertiary healthcare facility, determine the extent of glycaemic control and to access the incidence of complication. A prospective cross sectional study was conducted on outpatients who met the inclusion criteria. Data were gathered on demographic, biochemical and anthropometric parameters. Descriptive statistics were computed and sampled characteristics were compared using student’s t-test. There were fifty-four (54) eligible respondents; mean age was 52.50 + 10.577 years. There was a statistically significant decrease in follow up fasting blood glucose 8.25 + 3.12 mmol/L of the respondents as compared to the baseline fasting blood glucose 11.1 + 4.68 mmol/L, P < 0.01. Similarly there was also a decrease in follow up systolic blood pressure 127.59 + 17.29 mmHg compared to baseline blood pressure 140.63 + 29.63 mmHg, P<0.01 and follow up diastolic blood pressure 80.26 + 10.23 mmHg as compared to baseline 87.24 + 13.66 mmHg, P <0.01. There was also a decrease in follow up total cholesterol, and follow up triglyceride compared to their baseline values. However, the decrease was not statistically significant P>0.05. There is need for improved monitoring by healthcare providers to improve positive outcomes of diabetic care.

Keywords: Diabetes Mellitus, Anthropometric parameters , fasting blood sugar, Insulin