[Long-standing diabetes in Africa and recent ideas about advanced glycation end products: 39 patients in Dakar].
This study included 39 patients with diabetes followed for a mean period of 27.3 +/- 3.9 years. Their mean age was 72.5 +/- 10 years and differed significantly between the 7 men (mean age 48.4 +/- 7.1 years) and 32 women (mean age 43.4 +/- 9.8 years). They resided mainly in urban and suburban areas. Mean body mass index was 29.1 +/- 2.9 kg/m(2) in the 87.5% of the patients who were overweight but not obese. Glycemic control differed by sex: for good glycemic control (less than 2 g/L) the sex ratio was 3 women for every 2 men but it was 29 women for 5 men for poor glycemic control (more than 2 g/L). Diastolic blood pressure was normal for 78.9 % of patients. Mean blood cholesterol during the follow-up period ranged between 1.4 +/- 0.12 g/L and 2.40 +/- 0.1 g/L in 75 % of cases. Only 3 of 39 patients were insulin-dependent. Patients with long-standing diabetes tended to be women and had substantially fewer risk factors than patients with newer diabetes. Moderate chronic complications were nonetheless present: 9 retinopathies; 20 cataracts; 13 with lower-limb peripheral arterial occlusion and 29 cardiac complications.
Sidibé
El Hassane
el H
Centre médical Marc Sankalé, BP 5062, Fann Dakar, Sénégal. sidibeeh@refer.sn
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000209:etiology; D002386:Cataract / Q000209:etiology; D048909:Diabetes Complications; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000378:metabolism*; D003929:Diabetic Neuropathies / Q000209:etiology; D003930:Diabetic Retinopathy / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012675:Senegal; D013997:Time Factors
D001786:Blood Glucose