title: Primary care physicians' practice regarding diabetes mellitus diagnosis, evaluation and management in the West region of Cameroon.
abstract: BACKGROUND
  Primary care physicians (PCPs) are the main providers of diabetes care especially in resource-limited countries which experience extreme shortage of specialists. The present study aimed to evaluate PCPs' approach towards diabetes mellitus (DM) diagnosis, evaluation and management in Cameroon.
  
  
  METHODS
  We carried-out a cross-sectional survey in February 2012 in the West Region of Cameroon. Using a structured pretested questionnaire, we interviewed all PCPs working in the region who were present at their working place when the investigators visited, and volunteered to be enrolled in the study.
  
  
  RESULTS
  Sixty-six PCPs were interviewed. Their ages ranged from 24 to 56 years (mean 38.3, standard deviation 9.2 years). The levels of knowledge of PCPs regarding DM diagnosis were: 72.7%, 37.9%, 19.7% and 32.8% respectively obtained when using fasting plasma glucose, post-prandial glycemia, random glycemia and glycated hemoglobin as diagnostic tools. Only 6 PCPs (9.9%) prescribed the correct minimal work-up to evaluate diabetes patients at diagnosis. PCPs advised lifestyle modifications in 92.4% of cases, and thirty nine (53.1%) PCP's used to prescribe both generic and specialty oral anti-diabetic drugs in case of uncomplicated type 2 DM management. The two main classes of anti-diabetic drugs prescribed were biguanides (77.3%) and sulfonamides (60.6%). Nearly all PCPs (97%) used to give frequent follow-up appointments to their patients. Ninety eight point five percent of participants were willing to receive any further continuous training on DM management.
  
  
  CONCLUSIONS
  PCPs knowledge and practices towards diabetes mellitus diagnosis, evaluation and management were not optimal, stressing the need to improve their capacities regarding diabetes care. As such, more educational initiatives should be taken on, alongside regular upgrade and dissemination of clinical guidelines.
authors.affiliation: Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon. jingiahmadoumusa@yahoo.co.uk.
authors.forename: Ahmadou M
authors.initials: AM
authors.lastname: Jingi
authors.affiliation: Department of Public Health, Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon. jobertrichie_nansseu@yahoo.fr.
authors.forename: Jobert Richie N
authors.initials: JR
authors.lastname: Nansseu
authors.affiliation: Internal Medicine Unit, Edéa Regional Hospital, Edéa, Cameroon. noubiapjj@yahoo.fr.|Medical Diagnostic Center, Yaoundé, Cameroon. noubiapjj@yahoo.fr.
authors.forename: Jean Jacques N
authors.initials: JJ
authors.lastname: Noubiap
mesh_terms: D000328:Adult; D001645:Biguanides / Q000627:therapeutic use; D001786:Blood Glucose / Q000378:metabolism; D002163:Cameroon; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy*; D019468:Disease Management; D015444:Exercise; D005247:Feeding Behavior; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008019:Life Style; D008875:Middle Aged; D058007:Physicians, Primary Care / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000592:standards*; D013449:Sulfonamides / Q000627:therapeutic use; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D001645:Biguanides; D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D013449:Sulfonamides; C517652:hemoglobin A1c protein, human