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JCOM Abstract

J Clin Outcomes Manage 
2012 Oct;19(10):446-452
Cardiovascular preventative therapies and outcomes of care among urban sub-Saharan Africans with Type 2 diabetes: a cross-sectional study in Cameroon.
Mekong JO, Kengne AP, Dehayem MY, Sobngwi E, Mbanya JC

Abstract Objective: To assess the uptake of recommended cardiovascular risk–reducing therapies and outcomes of care in a group of diabetic patients in Cameroon, sub-Saharan Africa. Methods: Cross-sectional study of consenting patients with type 2 diabetes receiving routine chronic care at the National Obesity Centre of the Yaounde Central Hospital in the capital city of Cameroon. Use of blood pressure–lowering, lipid-modifying, and glycemic control therapies was assessed, and levels of risk factor control attained were compared with recommended optimal targets. Results: In all, 205 participants (89 men) aged 29 to 85 years (mean age, 57 years) were included. Major risk factors were distributed as follows: hypertension (54.6%), dyslipidemia (49.8%), overweight and obesity (68.3%), current smoking (7.4%), and sedentary lifestyle (49.4%). Specific drug treatment rates were 88.6% (blood pressure lowering), 5.0% (lipid modifying), 16% (aspirin), and 97.6% (glucose control). Optimal control was achieved for 3 or more factors in 13.2%, and for none of the factors in 9.3% of participants. Control rate was higher for lipids than for blood pressure. Conclusions: Overall satisfactory control of cardiovascular risk factors in urban Cameroonian diabetic patients is poor. Further improvements are needed in the application of recommended cardiovascular preventive actions in this population.

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