dc.contributor.author | Mwendwa, FM | |
dc.contributor.author | Otieno, CF | |
dc.contributor.author | Kayima, JK | |
dc.contributor.author | Amayo EO | |
dc.contributor.author | Otieno, PO | |
dc.date.accessioned | 2013-04-05T11:39:40Z | |
dc.date.available | 2013-04-05T11:39:40Z | |
dc.date.issued | 2005-12 | |
dc.identifier.citation | East African Medical Journal | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15463 | |
dc.description.abstract | Background: Type 2 diabetes has a long pre-clinical period before diagnosis, during which there may be development of complications, both of microvascular and macrovascular types. Objective: To determine the risk factor profile of hyperglycaemia, hypertension and dyslipidaemia in patients with short-term (=/< 2 years) type 2 diabetes.
Design: Cross-sectional descriptive study over six months.
Setting: Outpatient diabetic clinic of Kenyatta National Hospital. Subjects: Ambulatory patients with type 2 diabetes.
Results: One hundred patients were included. The mean (SD) duration of diabetes was 10.3 (7.5) months. There were 66% of the study subjects with obesity, 50% with hypertension, 29% had ideal glucose control and less than 40% had high LDLcholesterol. Twenty eight (28%) who had polyneuropathy had significant differences in their older age, higher total and LDL-cholesterol compared with those who did not have polyneuropathy. Twenty five (25%) of the study patients had micro-albuminuria and only 1% had macro-albuminuria. There were no significant differences in the selected characteristics between study patients with and those without albuminuria. Only 7% of the study patients had retinopathy on direct ophthalmoscopy.
Conclusion: Microvascular complications occurred in patients with type 2 diabetes of short duration of not more than two years. The risk factors of hypertension, poor glycaemic control, dyslipidaemia and cigarette smoking were present in a fair proportion of the study patients. Patients with type 2 diabetes should be actively screened for complications and the risk factors thereof, even if the diabetes was of recent onset. | en |
dc.language.iso | en | en |
dc.relation.ispartofseries | Vol. 82(12) 2005: S163-S172; | |
dc.title | Risk factor profile and the occurrence of microvascular complications in short-term type 2 diabetes mellitus at Kenyatta National Hospital, Nairobi. | en |
dc.type | Article | en |
local.publisher | Department of Medicine. College of Health Sciences. University of Nairobi | en |