Djonou Cathy, Tankeu Aurel T, Dehayem Mesmin Y, Tcheutchoua Daryl N, Mbanya Jean Claude, Sobngwi Eugene
Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaoundé, Cameroon.
National Obesity Center, Yaounde Central Hospital, Yaoundé, Cameroon.
BMC Res Notes. 2019 Jan 22;12(1):50. doi: 10.1186/s13104-019-4054-1.
This study aims to describe the prevalence of glycemic control and related factors in a population of Sub-Saharan African T1D patients. We carried out a cross-sectional study including children and adolescents from seven different centers of the Changing Diabetes in Children (CDiC) program. All children enrolled in the program where recruited after parental consent. Diabetes history, daily practice anthropometrics parameters and HbA1c were assessed for each participant.
We enrolled 95 children adolescents, aged from 06 to 19 years. The mean HbA1c was 9.2 ± 2.5% and 67.4% of participant had poor glycemic control. There was an association between study level of the patients (p = 0.03), healthy eating habits (p < 0.001), diabetes duration (p < 0.001) and level of glycemic control on univariate analysis. On multivariate analysis, diabetes diagnosed for more than 2 years was associated to a good control compared to those with diagnosis that is more recent. Glycemic control of adolescents with type1 diabetes remain very poor in Cameroon despite the implementation of free diabetes care through the program CDiC.
本研究旨在描述撒哈拉以南非洲1型糖尿病患者群体中血糖控制的患病率及相关因素。我们开展了一项横断面研究，纳入了来自“儿童糖尿病变化”（CDiC）项目七个不同中心的儿童和青少年。该项目中所有登记的儿童均在获得家长同意后招募。对每位参与者评估糖尿病病史、日常人体测量学参数和糖化血红蛋白（HbA1c）。
我们纳入了95名年龄在6至19岁的儿童和青少年。平均糖化血红蛋白为9.2±2.5%，67.4%的参与者血糖控制不佳。在单因素分析中，患者的学业水平（p = 0.03）、健康饮食习惯（p < 0.001）、糖尿病病程（p < 0.001）与血糖控制水平之间存在关联。在多因素分析中，与近期诊断的患者相比，诊断超过2年的患者血糖控制良好。尽管通过CDiC项目实施了免费糖尿病护理，但喀麦隆1型糖尿病青少年的血糖控制仍然很差。
