State of Diabetes Care in Nigeria: A Review

Authors

  • Sonny Chinenye Department of Internal Medicine, College of Health Sciences, University of Port-Harcourt
  • Ekene Young Department of Internal Medicine, College of Medicine, University of Nigeria, Enugu Campus

DOI:

https://doi.org/10.60787/tnhj.v11i4.67

Keywords:

Diabetes care, Recommendations, NCDs, United Nations

Abstract

Background: The prevalence of diabetes mellitus is rising in Nigeria and its complications present an immense public health burden.

Objective(s): The objective of this discourse is to review the state of diabetes care in Nigeria with focus on the needs, priorities and recommendations, which should guide our clinicians. It will discuss the definition, pattern, landmark Nigerian studies on diabetes care, matters arising, morbidity/mortality and proposed strategies for improving diabetes care in Nigeria.

Methods (Data Sources /extraction): The data search used in this review covered studies published from 1959-2010, obtained from prevalence studies, hospital statistics, registry reports, landmark hospital-based studies, recent international conference proceedings, world health reports, government estimates, United Nations resolutions on diabetes, international diabetes federation (IDF) declarations and clinical practice guidelines. The medline database, the internet (e-medicine, medscape resource etc), journal articles, World Health and international diabetes federation (IDF) monographs were used.

Results: The rising prevalence of diabetes as well as its associated morbidity / mortality, preventive measures and effective treatments are well recognized. However, in practice this knowledge is under- utilized because only about a third of Nigerians living with diabetes achieve optimum targets (glycaemic control, blood pressure, lipids and weight).

Conclusion: Most Nigerians living with diabetes have suboptimal control, are hypertensives and have chronic complications. Improved quality of care and treatment- to-target is recommended to reduce diabetes-related morbidity and mortality.

Downloads

Download data is not yet available.

References

Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of Diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care 2004; 27:1047-1053.

Motala AA. Diabetes Trends in African. Diabetes metab Res Rev 2002; 18:514-520.

Akinkingbe OO (editor). Non-communicable Diseases in Nigeria: National Survey (Final Report) on Hypertension, Coronary Heart Disease, Diabetes mellitus, Haemoglobinopathy, G6PD Deficiency and Anaemia National Expert Committee on Non-Communication Disease. Federal Ministry of Health and Social services. Lagos 1997.

Cobban K MCL. Analysis of a year's outpatient at University College Hospital, Ibadan. J Trop Med Hyg 1959; 62:129-132.

Chinenye S, Uchenna DI, Unachukwu CN, Ogbera AO and Ojule AC. The pattern of Diabetes Mellitus in Rivers State, Nigeria. Nigerian Endocrine Practice 2008; 2(2): 87-93.

Oyegbade OO, Abioye-Kuteyi EA, Kolawole BA, Ezeoma IT, Bello IS. Screening for diabetes mellitus in a Nigerian family practice population. SA Fam Pract. 2007; 49: 15-19.

Nwafor A, Owhoji A. Prevalence of diabetes mellitus among Nigerians in Port Harcourt correlates with economic status. J. Appl. Sci. Environ. Mgt. 2001; 5: 75-77.

Nyenwe EA, Odia OJ, Ihekwaba AE, Ojule A, Babatunde S. Type 2 Diabetes in adult Nigerians: a study of its prevalence and risk factors in Port Harcourt, Nigeria. Diabetes Res Clin Pract 2003; 62: 177-185.

Ohwovoriole AE, Kuti JA, Kabiawu SIO. Casual blood glucose levels and prevalence of undiscovered diabetes in Lagos metropolis, Nigeria. Diab Res Clin Pract. 1988; 4: 153-158.

The Diabcare Nigeria Study Group (Chinenye S, Uloko AE, Ofoegbu E, Fasanmade Femi, Fasanmade'Soji, Ogbera AO and Ogugua). Profile of Nigerians with Diabetes mellitus. (Nigerian Medical Practitioner 2011 in press).

Arije A, Kuti M, Fasanmade A, Akinlade K, Ashaye A, Obajimi M et al. Control of hypertension in Nigerians with diabetes mellitus; A report of the Ibadan diabetic/kidney disease study group. Int J Diabetes Metabolism. 2007; 15: 82-86.

Ogbera AO, Fasanmade OA, Chinenye S, Akinlade A. Characterization of lipid parameters in diabetes mellitus- a Nigerian report. Int Archives Med. 2009; 2; 19.

Ogbera AO, Chinenye S, Onyekwere A, Fasanmade O. Prognostic Indices of Diabetes Mortality. Ethnicity & Diseases 2007; 17: 721-725.

Unachukwu CN, Uchenna DI, Young EE. Mortality among Diabetes in-patients in Port Harcourt Nigeria. African Journal of Endocrinology and Metabolism. 2008; 7: 1-4.

International Diabetes Federation. IDF Member Association Consultation on Diabetes Priorities for the UN Summit on NCDs. Brussels December 2010.

Downloads

Published

2015-12-06

How to Cite

Chinenye, S., & Young, E. (2015). State of Diabetes Care in Nigeria: A Review. The Nigerian Health Journal, 11(4), 101. https://doi.org/10.60787/tnhj.v11i4.67
Abtract Views | PDF Download | EPUB Download: 796 / 2611

Similar Articles

<< < 10 11 12 13 14 15 16 17 > >> 

You may also start an advanced similarity search for this article.