Self - care Practices and Complications Among Type 2 Diabetic Patients in Bamenda Health District, Northwest Region of Cameroon

Authors

  • Mary Chia- Garba Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Bamenda, Cameroon
  • Marcelus U.Ajonina Department of Public Health, Faculty of Health Sciences, University of Bamenda Cameroon
  • Agbor Esther Etengeneng Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Bamenda, Cameroon
  • MfonKidze Padeline Department of Social Economy and Family Management,Higher Technical Teachers Training College, University of Bamenda, Cameroon

Keywords:

diabetes type 2, self-care practices, complications, Bamenda Health district

Abstract

Diabetes mellitus (DM) is an emerging lifestyle disease and is now an important public health concern globally and a silent killer. Its coexistence with other medical conditions contributes to about 88% mortality. This study aimed at investing self-care practices and complications of type 2 diabetic among patients in Bamenda Health District. A descriptive cross-sectional survey was conducted among 200 participants selected quarterly from three health facilities in Bamenda Health District. Data was collected using a structured questionnaire and analyzed using SPSS version 17.0and was considered significant at P ? 0.05.The results showed that, of the 200 patients, 48% were male and 52% female and for both of them, 60%  were aged above 50 years. Concerning dietary intake, 68% had no control on food intake and 54.5% ate more of energy yielding food.Majority of the patients (54%) do not indulge in physical activities.Only 12% of the diabetic patients washed and wiped their feet every day.Compliance to medication was 40.5%.It was observed that the most outstanding complications were high blood pressure (62%)and visual problems (60%). Self-carepractices (diet, physical activity, blood sugar testing, foot care, alcohol and medications) were significantly associated with complications (p<0.05).Results revealed an overall poor approach to self-care among the patients, thus Type 2 diabetic patients in Bamenda health district still need more access to information on self-care.

References

. Ahmed AM. History of diabetes mellitus. Saudi Med J 2002. Apr;23(4):373-378 [PubMed] [Google Scholar]

. Maitra A, Abbas AK. Endocrine system. In: Kumar V, Fausto N, Abbas AK (eds). Robbins and Cotran Pathologic basis of disease (7th ed) 2005. Philadelphia, Saunders; 1156-1226.[Google Scholar]

. Chen L, Magliano DJ, Zimmet PZ. The worldwide epidemiology of type 2 diabetes mellitus:present and future perspectives. Nature reviews endocrinology. Available at: www.nature.com/uidfinder (Accessed 22nd December 2011) [PubMed]

. Genetic basis of type 1 and type2 diabetes, obesity, and their complications. Advances and emerging opportunities in diabetes research: a Strategic Planning report of the DMICC. www2.niddk.nih.gov/NR (Accessed 22nd December 2011).

. Azevedo M, Alla S. Diabetes in sub-saharan Africa: kenya, mali, mozambique, Nigeria, South Africa and zambia. Int J Diabetes Dev Ctries 2008. Oct;28(4):101-108 10.4103/0973-3930.45268 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

. Global burden of diabetes. International Diabetes federation. Diabetic atlas fifth edition 2011, Brussels. Available at http://www.idf.org/diabetes atlas (Accessed 18th December 2011).

. Chamnan P, Simmons RK, Forouhi NG, Luben R. Khaw Ky, Wareham NJ et al. Incidence of type 2 diabetes using proposed HbA1c diagnostic criteria in the EPIC-Norflok cohort:Implication for preventive strategies. Available at http://care.diabetesjournal.org (Accessed 19th December 2011). [PMC free article] [PubMed]

. Zimmet P, Alberti KG, Shaw J. Global and societal implications of the diabetes epidemic. Nature 2001. Dec;414(6865):782-787 10.1038/414782a [PubMed] [CrossRef] [Google Scholar]

. Mbanya JC. The burden of type 2 diabetes mellitus in the African diaspora. Available atwww.medscape.com/view article/560718_2

. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimate for the year 2000 and projections for 2030. Diabetes Care 2004;127(5):1047-1053 .10.2337/diacare.27.5.1047 [PubMed] [CrossRef] [Google Scholar]

. Ripsin CM, Kang H, Urban RJ. Management of blood glucose in type 2 diabetes mellitus. Am Fam Physician 2009. Jan;79(1):29-36 [PubMed] [Google Scholar]

. Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, et al. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med 2001. Sep;345(11):790-797 10.1056/NEJMoa010492 [PubMed] [CrossRef] [Google Scholar]

. Sobngwi E., Mbanya JC, Unwin NC, Kengnie AP, Fezeu L, Minkoulou EM ,et al. Physical activity and it’s relation with obesity, hypertension and diabetes in urban and rural Cameroon. Int J ObesRelatMetabDisord. 2002 Jul;26(7):1009-16. doi: 10.1038/sj.ijo.0802008.

. MbanyaJC.,Ngongang J. Salah J N, Minkoulou E., Balkau B. Prevalence of NIDDA and Impaired glucosetolerence in a rural and urban population in Cameroon.Diabetologia 2007; 40(7): 824-9.

. Gogo-JacK S. Primary prevention of type-2 diabetes in developing countries. J Natl Med Assoc. 2006 Mar; 98(3): 415–419.

. Norris, S. L., Engelgau, M. M., and venkat, N. K. M. (2001). Effectiveness of self- management training in type 2 diabetes. Diabetes Care, 24(3), 561-587. Doi: 10.2337/diacare. 24.3.561.

. International diabetes Federation, IDF DIABETES ATLAS eighth edition 2017, International diabetes Federation, Brussels, Belgium, Eighth edition, 2017, Report No.

. Njonnou SRS, Boombhi J, Etoga MEE, Timnou TA, Jingi AM, Efon KN, et al.Prevalence of diabetes and associated risk factors among a group of prisoners in the Yaoundé central prison. Journal of Diabetic Research, 2020; 8.https://doi.org/10.1155/2020/5016327

. Laissaoui A and Allem R. The eating habits of Patients with Type 2 diabetes in Algeria. Pak J Med Sci. 2016; 32(2): 289–293. doi: 10.12669/pjms.322.9266

. PEM D, and JEEWON R. Fruit and vegetable intake: Benefits and progress of nutrition education interventions- narrative review article. Iran J Public Health. 2015; 44(10): 1309–1321.

. Alison B Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ. (2003). American diabetes association. Nutrition therapy recommendations for the management of adults with diabetes: a position statement of the American diabetes association. Diabetes Care, 2013: 36

. Moreira EAM, Most M, Howard J, Ravussin E. Dietary adherence to long-term controlled feeding in a calorie-restriction study in overweight men and women. Nutr Clin Pract. 2011;26(3):309-15. doi: 10.1177/0884533611405992.

. Tanya AK, Mbofung CM, Keshinro OO. Soluble and insoluble fiber contents of some Cameroonian foodstuffs. Plant Foods Hum Nutr. 1997;51(3):199-207. doi: 10.1023/a:1007923413490.

. Kong Z, Hu M, Liu Y, Shi Q, Zou L, Sun S, et al. Affective and Enjoyment Responses to Short-Term High-Intensity Interval Training with Low-Carbohydrate Diet in Overweight Young Women. Nutrients. 2020; 12(2): 442.

. American Diabetes Association. Nutrition recommendations and interventions for diabetes a position statement of the American Diabetes Association. Diabetes cave; 31: S61-S78.

. Ndanuko RN, Tapsell LC, Charlton KE, Neale EP, Batterham MJ. Dietary patterns and blood pressure in adults: a systematic review and meta-analysis of randomized controlled trials. Adv Nutr. 2016; 7(1): 76–89.

. Benjamin E. Self-monitoring of blood glucose: The basics. Clinical Diabetes 2002; 20(1): 45-47. https://doi.org/10.2337/diaclin.20.1.45

. Jones J, Caird J. The usability of blood glucose meters: task performance differences between younger and older age groups. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2017; 61(1):604-608. doi: 10.1177/1541931213601636

. American College of Foot and Ankle Surgeons. Foot health facts-healthy feet for an active life. Collected 2010-03-13, from American College of foot and ankle surgeons, http://www.foot heath facts.org/foot ankle info/diabetic-guidelines.htm

. Ortegon MM, Redekop WK Wilhelmusniessen L. Cost effectiveness of prevention and treatment of the Diabetic foot. Diabetes care, 2004; 27(4), 901-907.

. International Diabetes Institutes. Type 2 Diabetes: Practical Targets and Treatments. Melbourne: The International Diabetes Institutes, 2005. Form http://www.Idf.org/webdata/docs/T2D practical tt.pdf.

. Bergström E, Blomquist HKS. Is the prevalence of overweight and obesity declining among 4-year-old Swedish children? Acta Paediatr ;98(12):1956-8. doi: 10.1111/j.1651-2227.2009.01490.x

. Alodhayania A, Almutairi KM, Vinluan JM, Almigbala TH, AlonaziWB, Batais MA et al. Association between self-care management practices and glycemic control of patients with type 2 diabetes mellitus in Saud Arabia: A cross –sectional study. Saudi Journal of Biological Sciences, 2021; 28(4), 2460-2465

. Sina M, Graffy J, Simmons D. Associations between barriers to self-care and diabetes complications among patients with type 2 diabetes. Diabetes Res Clin Pract. 2018; 141:126-131. doi: 10.1016/j.diabres.2018.04.031.

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Published

2021-07-12

How to Cite

Chia- Garba, M. ., U.Ajonina, M. ., Etengeneng, A. E. ., & Padeline, M. . (2021). Self - care Practices and Complications Among Type 2 Diabetic Patients in Bamenda Health District, Northwest Region of Cameroon. American Scientific Research Journal for Engineering, Technology, and Sciences, 80(1), 107–117. Retrieved from https://www.asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/6918

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