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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Endocrine Disorders 1/2015

Primary care physicians’ practice regarding diabetes mellitus diagnosis, evaluation and management in the West region of Cameroon

Zeitschrift:
BMC Endocrine Disorders > Ausgabe 1/2015
Autoren:
Ahmadou M Jingi, Jobert Richie N Nansseu, Jean Jacques N Noubiap
Wichtige Hinweise

Competing interests

The authors do not declare any conflict of interest with this article. The authors alone are responsible for the content and writing of the paper, and they have benefited neither from any funding nor sponsorship.

Authors’ contributions

Study conception and design AMJ, JJNN, JRNN data collection AMJ Data analysis and interpretation JRNN, JJNN, AMJ drafting JRNN manuscript critical revision AMJ, JRNN, JJNN. All the authors read and approved the final version of the manuscript.

Abstract

Background

Primary care physicians (PCPs) are the main providers of diabetes care especially in resource-limited countries which experience extreme shortage of specialists. The present study aimed to evaluate PCPs’ approach towards diabetes mellitus (DM) diagnosis, evaluation and management in Cameroon.

Methods

We carried-out a cross-sectional survey in February 2012 in the West Region of Cameroon. Using a structured pretested questionnaire, we interviewed all PCPs working in the region who were present at their working place when the investigators visited, and volunteered to be enrolled in the study.

Results

Sixty-six PCPs were interviewed. Their ages ranged from 24 to 56 years (mean 38.3, standard deviation 9.2 years). The levels of knowledge of PCPs regarding DM diagnosis were: 72.7%, 37.9%, 19.7% and 32.8% respectively obtained when using fasting plasma glucose, post-prandial glycemia, random glycemia and glycated hemoglobin as diagnostic tools. Only 6 PCPs (9.9%) prescribed the correct minimal work-up to evaluate diabetes patients at diagnosis. PCPs advised lifestyle modifications in 92.4% of cases, and thirty nine (53.1%) PCP’s used to prescribe both generic and specialty oral anti-diabetic drugs in case of uncomplicated type 2 DM management. The two main classes of anti-diabetic drugs prescribed were biguanides (77.3%) and sulfonamides (60.6%). Nearly all PCPs (97%) used to give frequent follow-up appointments to their patients. Ninety eight point five percent of participants were willing to receive any further continuous training on DM management.

Conclusion

PCPs knowledge and practices towards diabetes mellitus diagnosis, evaluation and management were not optimal, stressing the need to improve their capacities regarding diabetes care. As such, more educational initiatives should be taken on, alongside regular upgrade and dissemination of clinical guidelines.
Literatur
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