How Serious is the Impact of Type II Diabetes in Rural Kenya?
Date
2014Author
El-busaidy, Hemed
Dawood, Mariam
Kasay, Ahmed
Mwamlole, Changambi
Koraya, Nahida
Parpia, Hafsa
Language
enMetadata
Show full item recordAbstract
Over 50% of all adult hospital admissions and 55% of hospital deaths in Kenya are non-communicable, of
which diabetes is among the leading. We aimed to describe the impact of type II diabetes at a rural community in Kenya.
200 healthy adult patients underwent random blood sucrose (RBS) testing after ethical approval by the Isiolo County
Hospital. Diabetes was defined as RBS ≥11.1 mmol/l. A thorough history, physical examination and dipstick urinalysis
for urine protein was done to identify risk factors and/or evidence of end organ damage. 32 patients (16%) had RBS ≥11.1
mmol/l. 12 patients (37.5%) never knew they were diabetic and those who knew 63% were not taking any medication.
The most common risk factors were high fat diet (59.4%), sedentary lifestyle (46.8%) and family history of diabetes in
first degree relative (37.5%). 43.7% of patients (n=14) had abdominal obesity while 21.9% (n=7) had various foot
abnormalities. 8 patients (25%) had proteinuria of ≥ +1 on dipstick urinalysis. The 16% diabetes prevalence is among the
highest recorded for a community living on ≤ 1 dollar/day. Further, evidence of end organ damage as depicted by massive
proteinuria warrants urgent attention to this underprivileged group. It is hoped the results will form basis for future
screening of diabetic nephropathy and other diabetes-related end organs involvement in this part of the world.
URI
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Citation
Hemed El-busaidy, Mariam Dawood, Ahmed Kasay, Changambi Mwamlole, Nahida Koraya and Hafsa Parp (2014). How Serious is the Impact of Type II Diabetes in Rural Kenya?. The Open Diabetes Journal, 7, 1-4Publisher
University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10386]