title: [Hospital care of insulin-treated diabetes in African immigrants, in France].
abstract: Eighty insulin treated diabetics from North or West Africa were interviewed and compared to 80 French controls matched for sex, age and duration of insulin-therapy. Modalities and access to medical care in a specialized clinic were studied. African people were predominantly blue collar workers (49%) and French people employees (70%). The percentage of unemployed people was similar. Africans performed blood glucose self testing less frequently (35.5% vs 60.5%). Only 40% (vs 75%) participated in specific educational activities because 40% of the migrants did not read French. Despite insulin treatment being similar, metabolic control was worse among migrants (HbA1: 10.5 +/- 2.4 vs 9.3% +/- 1.9; p less than 0.01). In migrants, there was an increased prevalence of degenerative complications which did not reach statistical significance. Three parameters may explain these differences: less strict follow-up, poorer knowledge, lower socioeconomic status.
mesh_terms: D000328:Adult; D000349:Africa / Q000208:ethnology; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000097:blood / Q000188:drug therapy*; D003925:Diabetic Angiopathies / Q000209:etiology; D004522:Educational Status; D004641:Emigration and Immigration; D005602:France; D006442:Glycated Hemoglobin / Q000032:analysis; D006760:Hospitalization; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007328:Insulin / Q000627:therapeutic use*; D008875:Middle Aged; D009790:Occupations; D011787:Quality of Health Care; D012959:Socioeconomic Factors
chemical_list: D006442:Glycated Hemoglobin; D007328:Insulin
vernacular_title: Prise en charge hospitalière du diabète insulino-traité chez les immigrés africains en France.