%0 Journal Article
%T Characteristics of type 2 diabetics presenting with end stage renal disease at the Jos University Teaching Hospital, Nigeria
%A EI Agaba
%J West African Journal of Medicine
%D 2004
%I 
%X Background: Diabetes mellitus is an increasingly common cause of end- stage renal disease (ESRD) in Nigeria. We describe the clinical characteristics of Nigerian diabetics presenting with ESRD, as data obtained would provide baseline information for management policy formulation. Methods: Twenty- one diabetics (16 males and 5 females) with ESRD seen in the Nephrology Unit of the Jos University Teaching Hospital were studied. Both clinical and laboratory parameters were assessed. Results: The mean age of the patients was 55.5¡À 9.8 years with a mean duration of diabetes being 7.7 ¡À 8.2 years. Retinopathy, hypertension and peripheral vascular disease were present in 75.5%, 71.4% and 57.1% of the patients respectively. The mean fasting blood glucose was 6.0 ¡À 2.7 mmol/L. Hypertriglyceridemia was the most common dyslipidemia seen in 38.1% of the patients, followed by reduced high- density lipoprotein (HDL) cholesterol in 33.3% and hypercholesterolemia in 23.8%. Common electrocardiographic abnormalities included myocardial ischemia, left atrial hypertrophy and left ventricular hypertrophy. Conclusion: The care of these patients should take into consideration the control of hypertension and dyslipidemia as cardiovascular event is common in them. Key Words: Diabetes, End Stage Renal Disease. R¨¦sum¨¦ Introduction: Diab¨¨te pancr¨¦atique est une cause de plus en plus courante de la maladie r¨¦nale ¨¦tape final (ESRD) au Nigeria. Nous decrivons les traits cliniques des diab¨¦tiques Nigerians atteints d'ESRD, ¨¦tant donn¨¦ que les donn¨¦s obtenu¨¦es vont fournir des informations de base pour l'¨¦laboration de la politique de gestion. M¨¦thodes: Vingt-et-un cas des diabetiques (16 du sexe masculin et 5 du sexe feminin) atteints du ESRD vus dans le services N¨¦phrologie du centre hospitalier universitaire de Jos ont ¨¦t¨¦ ¨¦tudies. Les parametres laboratories et cliniques les deux ont ¨¦t¨¦ ¨¦valu¨¦s. Resultats: L'age moyen des patients ¨¦tait 55,5¡À9,8 ans avec dur¨¦e moyenne de diab¨¨tes ¨¦tant 7,7¡À8,2 ans. R¨¦tinopathie, hypertension et maladie vasculaire p¨¦riph¨¦rale ¨¦taient pr¨¦sent en 75,5%, 71,4%, et 57,1% respectivement chez des patients. Le moyen fasting blood glucose ¨¦tait 6,0¡À 2,7mmol/L. Hypertriglycerid¨¦mie ¨¦tait la dyslipidemie la plus courante vue en 38,1% des patients, suivi par haute densit¨¦ lipoproteine (HDL) reduite cholesterol en 33,3% et hypercholesterolomie en 23,8%. Anormalit¨¦s electrocardiographique courantes sont isch¨¦mie du myocarde, hypertrophie du c te gauche, et hypertrophie ventriculaire du c te gauche. Conclusion: La prise en charge de ces patients devrait tenir compte du contr le d'hypertension et de dyslipidemic parce que l'¨¦v¨¦nement cardiovasculaire est courant chez eux. West African Journal of Medicine Vol.23(2) 2004: 142-145
%U http://www.ajol.info/index.php/wajm/article/view/28107