%0 Journal Article
%T Decentralised Management of Type 2 Diabetes in a Decentralised Centre for the Management of Type 2 Diabetes
%A Boundia Djiba
%A Nafissatou Diagne
%A Demba Di¨¦dhiou
%A Coumba Mbayar Diouf
%A Djibi Sow
%A Mohamed Dieng
%A Michel Assane Ndour
%A Awa Cheikh Ndao
%A Atoumane Faye
%A Maimouna Sow
%A Baidy Sy Kane
%A Abdoulaye Pouye
%J Open Journal of Internal Medicine
%P 395-407
%@ 2162-5980
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojim.2023.134035
%X <strong>Introduction:</strong> Diabetes mellitus is a heterogeneous metabolic disorder characterized by the presence of chronic hyperglycemia due to a lack of secretion and/or action of insulin on the target tissues. Type 2 diabetes accounts for 90% of all diabetics. Despite the few specialists, there is a policy of decentralization of these patients. <strong>Patients and Methods: </strong>This was a retrospective cross-sectional study of the records of diabetic subjects followed in ambulatory at the internal medicine department of the EPS of Mbour. The recruitment of our patients took place over a period of sixty-three (63) days (from 03 May 2021 to 05 July 2021). <strong>Results: </strong>During the study period we collected 163 patients and most of those were female with a sex ratio of 0.68. The most represented age group was 46 - 55 years; 82.8% of patients came from Mbour. Diabetes was initially discovered in 65 patients (39.9%) and known in 98 patients. 72 patients in our population had previous follow-ups in a health facility; Almost all of the 146 patients had at least one FDR of T2D, <i>i.e.</i> 89.6%. Cardiovascular risk factors were present in 96 patients. The majority of patients (138) came for simple follow-up, 11 for acute complications and 16 for chronic complications. 36 patients in our population had at least one microangiopathic complication of diabetes, 18 a macroangiopathic complication and 18 an infectious complication. In our study, 102 patients had a very high cardiovascular risk, 42 patients had a high risk, and 19 patients had a moderate risk. <strong>Conclusion:</strong> Diabetes is a real public health emergency because of its magnitude and complications. A strengthening of the policies of decentralization of the management will allow better management of patients who are not from Dakar.
%K Type 2 Diabetes
%K Complications
%K Decentralization
%K Mbour
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=129817