Management of diabetes mellitus in three settings in Jamaica

Wilks, Rainford J; Sargeant, Lincoln A; Gulliford, Martin C; Reid, Marvin E; Forrester, Terrence E

Wilks, Rainford J; Sargeant, Lincoln A; Gulliford, Martin C; Reid, Marvin E; Forrester, Terrence E.

Afiliação

Wilks, Rainford J; s.af
Sargeant, Lincoln A; s.af
Gulliford, Martin C; s.af
Reid, Marvin E; s.af
Forrester, Terrence E; s.af

Rev. panam. salud publica ; 9(2): 65-72, Feb. 2001. tab

Article em En | MedCarib | ID: med-16958

Biblioteca responsável: TT5

ABSTRACT

ABSTRACT

Fewer than 10 percent of the patients were controlled with diet alone. Insulin was the most commonly prescribed agent at SPMC (46 percent). compared to 7 percent each at the two other clinics. Sulfonylurea drugs alone or in combination with metformin were the most common agents at PUBMC and PRMC. Overall, 40 percent of the patients had satisfactory blood glucose control (<8 mmol/L fasting or <10 mmol/L post prandial). There was no significant difference among the clinics in the proportion of patients with satisfactory blood glucose control (P=0.26). A blood glucose measurement had been recorded in the preceding year in 84 percent of the patients at SPMC, 79 percent at PRMC, and 67 percent at PUBMC. Glycosylated hemoglobin was infrequently measured 16 percent at SPMC, 10 percent at PRMC, and 0 percent at PUBMC. Overall, 96 percent of patients had surveillance for hypertension, and 81 percent had surveillance for proteinuria. Surveillance for foot and retinal complications was generally infrequent and had been noted in patients' clinic records most commonly at APMC (14 percent for foot complications, and 13 percent for retinal complications). The staff at the three clinics seldom advised the diabetic patients on diet, exercise, and other nonpharmacological measures, according to the clinics records. THe management of diabetes in Jamaica fell short of international guidelines. Our results also indicate the need to better sensitize health care professionals to these standards in order to reduce the burden of diabetes (AU)

Assuntos

Humanos; Diabetes Mellitus/complicações; Jamaica; Atenção à Saúde/métodos; Diabetes Mellitus/tratamento farmacológico

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Coleções: 01-internacional Base de dados: MedCarib Assunto principal: Atenção à Saúde / Diabetes Mellitus / Jamaica Tipo de estudo: Guideline Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: Caribe ingles / Jamaica Idioma: En Revista: Rev. panam. salud publica Ano de publicação: 2001 Tipo de documento: Article

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