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Management of diabetes mellitus in three settings in Jamaica
Wilks, Rainford J; Sargeant, Lincoln A; Gulliford, Martin C; Reid, Marvin E; Forrester, Terrence E.
Afiliação
  • Wilks, Rainford J; s.af
  • Sargeant, Lincoln A; s.af
  • Gulliford, Martin C; s.af
  • Reid, Marvin E; s.af
  • Forrester, Terrence E; s.af
Rev. panam. salud publica ; 9(2): 65-72, Feb. 2001. tab
Artigo em Inglês | MedCarib | ID: med-16958
Biblioteca responsável: TT5
ABSTRACT
Fewer than 10 percent of the patients were controlled with diet alone. Insulin was the most commonly prescribed agent at SPMC (46 percent). compared to 7 percent each at the two other clinics. Sulfonylurea drugs alone or in combination with metformin were the most common agents at PUBMC and PRMC. Overall, 40 percent of the patients had satisfactory blood glucose control (<8 mmol/L fasting or <10 mmol/L post prandial). There was no significant difference among the clinics in the proportion of patients with satisfactory blood glucose control (P=0.26). A blood glucose measurement had been recorded in the preceding year in 84 percent of the patients at SPMC, 79 percent at PRMC, and 67 percent at PUBMC. Glycosylated hemoglobin was infrequently measured 16 percent at SPMC, 10 percent at PRMC, and 0 percent at PUBMC. Overall, 96 percent of patients had surveillance for hypertension, and 81 percent had surveillance for proteinuria. Surveillance for foot and retinal complications was generally infrequent and had been noted in patients' clinic records most commonly at APMC (14 percent for foot complications, and 13 percent for retinal complications). The staff at the three clinics seldom advised the diabetic patients on diet, exercise, and other nonpharmacological measures, according to the clinics records. THe management of diabetes in Jamaica fell short of international guidelines. Our results also indicate the need to better sensitize health care professionals to these standards in order to reduce the burden of diabetes (AU)
Assuntos
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Atenção à Saúde / Diabetes Mellitus / Jamaica Tipo de estudo: Guia de prática clínica Aspecto: Determinantes sociais da saúde Limite: Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: Rev. panam. salud publica Ano de publicação: 2001 Tipo de documento: Artigo
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Atenção à Saúde / Diabetes Mellitus / Jamaica Tipo de estudo: Guia de prática clínica Aspecto: Determinantes sociais da saúde Limite: Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: Rev. panam. salud publica Ano de publicação: 2001 Tipo de documento: Artigo
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