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Improving access to HbA1c in sub-Saharan Africa (IA3) cohort: cohort profile

Balde, Naby ; Camara, Alioune ; Sobngwi-Tambekou, Joelle ; Balti, Eric Vounsia ; Tchatchoua, Alain ; Fezeu, Leopold ; Limen, Serge ; Ngamani, Sylvie ; Ngapout, Suzanne ; Kengne, Andre Pascal ; Sobngwi, Eugene

The Pan African medical journal, 2017, Vol.27 (275), p.275-275 [Periódico revisado por pares]

Uganda: African Field Epidemiology Network

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Título:
Improving access to HbA1c in sub-Saharan Africa (IA3) cohort: cohort profile
Autor: Balde, Naby ; Camara, Alioune ; Sobngwi-Tambekou, Joelle ; Balti, Eric Vounsia ; Tchatchoua, Alain ; Fezeu, Leopold ; Limen, Serge ; Ngamani, Sylvie ; Ngapout, Suzanne ; Kengne, Andre Pascal ; Sobngwi, Eugene
Assuntos: Adult ; Aged ; Blood Glucose - metabolism ; Bridges ; Cameroon ; Cohort Studies ; complications ; Diabetes ; diabetes control ; diabetes mellitus ; Diabetes Mellitus - therapy ; Feasibility Studies ; Feedback ; Female ; Follow-Up Studies ; Glucose ; Glycated Hemoglobin A - analysis ; Guinea ; hba1c ; Health Services Accessibility ; Hemoglobin ; Humans ; Male ; Middle Aged ; Mortality ; Patient education ; Patient Education as Topic ; Prospective Studies ; Sample size ; Standard deviation ; Time Factors
É parte de: The Pan African medical journal, 2017, Vol.27 (275), p.275-275
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Glycated haemoglobin (HbA1c) is the best surrogate of average blood glucose control in diabetic patients, and lowering HbA1c significantly reduces diabetes complications. Moreover, immediate feedback of HbA1c measurement to patients may improve control. However, HbA1c is unavailable in most parts of Africa, a continent with one of the highest burden of diabetes. To translate these evidences, we are conducting a multicentric project in 10 health care facilities in Guinea and Cameroon to evaluate the feasibility and one-year benefit of affordable HbA1c measurement with immediate feedback to patients on diabetes control and related outcomes. We consecutively enrolled patients with diabetes mellitus independently of the type of disease. We hypothesised an average 1%-decrease in HbA1c in a 1000-patient study population, with a 20% increase in the number of patients reaching treatment goals within 12 months of intervention and follow-up. A total of 1, 349 diabetic patients aged 56.2±12.6 years are enrolled (813 in Cameroon and 536 in Guinea) of whom 59.8% are women. The mean duration of diabetes is 7.4±6.3 years and baseline HbA1c is 9.7±2.6% in Guinea and 8.6±2.5% in Cameroon. To investigate whether the introduction of routine HbA1c measurement with immediate feedback to patients and provision of relevant education would improve diabetes control after one year. The impact of the intervention on diabetes associated-complications and mortality warrant further assessment in the long term.
Editor: Uganda: African Field Epidemiology Network
Idioma: Inglês

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Improving access to HbA1c in sub-Saharan Africa (IA3) cohort: cohort profile

Balde, Naby ; Camara, Alioune ; Sobngwi-Tambekou, Joelle ; Balti, Eric Vounsia ; Tchatchoua, Alain ; Fezeu, Leopold ; Limen, Serge ; Ngamani, Sylvie ; Ngapout, Suzanne ; Kengne, Andre Pascal ; Sobngwi, Eugene

Uganda: African Field Epidemiology Network

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