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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50843#.VE3WjlfHRK0
Author(s)
Long-term complications are the main
sources of morbidity and mortality in diabetic patients. Aims: The aims of the
study were to determine the rate of long-term complications in type 2 diabetic
patients and to identify factors associated to these complications. Patients
and method: Successive type 2 diabetic patients attending the diabetic center
were submitted to a questionnaire and to clinical examination. Data were
completed by consulting their medical reports. Chi square test was used for
statistical analysis. Results: In 150 diabetic patients included in the study,
the global rate of complications was 78.0%. Specific rate for itch complication
investigated was 57.7% for peripheral neuropathy, 75.0% for erectile
dysfunction, 20.0% for nephropathy, 36.6%
for retinopathy, 40% for macroangiopathy and 8.0% for foot ulcer. Factors
significantly associated with high rate of complications were age above or
equal to 50 years (p = 0.001), the male gender (p = 0.000), high blood pressure
(p = 0.0001), the absence of familial history of diabetes (p = 0.02), the
duration of the disease above 5 years (p = 0.001) and high HbA1c level (p =
0.001). Conclusion: This study revealed that type 2 diabetic patients followed
up in the diabetic center in Cotonou showed a high rate of chronic
complications which often occurred in a younger age than in developed
countries. Numerous socio-demographic and biological factors were significantly
associated with the high rate of complications.
KEYWORDS
Cite this paper
Djrolo, F. , Paraïso, N. , Diarra, O. and
Makoutode, M. (2014) Diabetes Complications and Associated Factors in
Type 2 Diabetic Patients in Cotonou. Journal of Diabetes Mellitus, 4, 311-315. doi: 10.4236/jdm.2014.44043.
| [1] | IDF Diabetes Atlas (2011) The Global Burden. 5th Edition, 23-43. |
| [2] | Djrolo, F., Amoussou Guenou, K.D., Zannou, D.M., Houinato, D., Ahouandogbo, F. and Houngbe, F. (2003) Prévalence du diabète sucré au Bénin. Louvain Medical, 122, S258-S262. |
| [3] | Djrolo, F., Gbary, A., Houinato, D., Fambo, D. and Djigbenoudé, O. (2011) Prevalence of Diabetes Mellitus and Associated Factors in the General Population in Benin. World Diabetes Congress Abstracts Book, 570, 1774. |
| [4] |
King, H. and Rewers, M. (1993)
Global Estimate for Prevalence of Diabetes and Impaired Glucose
Tolerance. WHO Ad Hoc Diabetes Reporting Group. Diabetes Care, 16,
157-177. http://dx.doi.org/10.2337/diacare.16.1.157 |
| [5] |
Wild, S., Roglic, G., Green, A.,
et al. (2004) Global Prevalence of Diabetes: Estimate for the Year 2000
and Projections for 2030. Diabetes Care, 27, 1047-1053. http://dx.doi.org/10.2337/diacare.27.5.1047 |
| [6] | Ali, A. (2000) Quelques aspects épidémiologiques du diabète de type 2 au Niger. Louvain Médical, 119, 265. |
| [7] | Charles, D., Gueye, M. and Wade, B. (1997) Diabète du sujet agé: A propos de 52 observations consécutives. Médecine d’Afrique Noire, 44, 18-23. |
| [8] | Belkhadir, J. and El Alaoui, Z. (1993) Approche épidémiologique du diabète en milieu marocain. Médecine du Maghreb, 37, 35-37. |
| [9] | Touré, A. (1998) Suivi du diabète de type 2: Epidémiologie, traitement et évolution. Thèse de Médecine, Université du Mali. |
| [10] | Romon, I., Brindel, P., Fagot-Campagna, A. and Bloch, J. (2003) Analyse de la relation entre l’existence d’une prise en charge pour affection de longue durée et le suivi des recommandations de bonnes pratiques dans le diabète de type 2. Bulletin Epidémiologique Hebdomadaire, 20, 88-89. |
| [11] | Ouerdane, K., Aouiche, S., Frioui, M., Ait Boudaoud, A., Ragguem, A. and Boudiba, A. (2013) Fréquence de la neuropathie diabétique douloureuse dans une population algéroise de 400 malades. Diabetes & Metabolism, 39, A30-A31. http://dx.doi.org/10.1016/S1262-3636(13)71739-7 |
| [12] | Fendi, O., Khadhraoui, E., Demnati, C., Gaigi, I., Ben Mami, F., Trabelsi, N., Dakhli, S. and Achour, A. (2011) La neuropathie diabétique évaluée par le score DN4. Diabetes & Metabolism, 37, A81. |
| [13] | Sobngwi, E., Ndour-Mbaye, M., Boateng, K., Ramaiya, K.L., Njenga, E.W., Diop, S.N., Mbanya, J.C. and Ohwovoriole, A.E. (2011) Type 2 Diabetes Control and Complications in Specialized Diabetes Care Centres of Six Sub-Saharian African Countries: The Diabcare Africa Study. Diabetes Research and Clinical Practice, 95, 30-36. http://dx.doi.org/10.1016/j.diabres.2011.10.018 |
| [14] |
Lacatusu, C.M., Graur, M.,
Mihai, C., Cijevschi-Prelipcean, C. and Mihai, B.M. (2013) Les lipides,
les protéines et le sucre: Connexion entre le bilan lipidique et
l’atteinte rénale chez les patients avec diabète sucré de type 1 d’un
centre régional. Diabetes & Metabolism, 39, A98. http://dx.doi.org/10.1016/S1262-3636(13)72039-1 |
| [15] | Djrolo, F., Doutetien, C. and Attolou, V. (2001) Etude de la concordance entre la rétinopathie diabétique et la néphropathie dans une population de diabétiques noirs africains à Cotonou, Bénin. Louvain Médical, 120, 305-309. |
| [16] | Kabaj, F., Sbaitri, N. and Mejdoub, G.B. (2013) La microangiopathie: Influence du type de diabète. Diabetes & Metabolism, 39, A98. http://dx.doi.org/10.1016/S1262-3636(13)72040-8 |
| [17] |
Khadraoui, E., Fendi, O.,
Dogrhi, S., Gaigi, I., Falfoul, E. and Gaigi, S. (2011) Rétinopathie
diabétique chez les patients diabétiques de type 2. Diabetes &
Metabolism, 37, A88. http://dx.doi.org/10.1016/S1262-3636(11)70857-6 |
| [18] | Tchabi, S., Assavedo, C.R., Boni, S., Affo, S. and Doutétien, C. (2011) Aspects épidémiologiques et cliniques de la rétinopathie diabétique au centre hospitalier départemental du Borgou à Parakou, Bénin (à propos de 101 cas). Louvain Médical, 130, 267. eww141027lx |
| [19] | Rosenberg, J.B., Friedman, I.B. and Gurland, E.J. (2011) Compliance with Screening Guidelines for Diabetic Retinopathy in a Large Academic Children’s Hospital in the Bronx. Journal of Diabetes and Its Complications, 25, 222-226. http://dx.doi.org/10.1016/j.jdiacomp.2010.11.001 |
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