INTERNATIONAL JOURNAL OF MEDICAL EVALUATION AND PHYSICAL REPORT (IJMEPR )

E-ISSN 2579-0498
P-ISSN 2695-2181
VOL. 6 NO. 1 2021
DOI: https://www.doi.org/10.56201/ijmepr.v6.no1.2022.pg20.25


Patterns of Management of Diabetic Mellitus and the Outcome in the Enugu State University Teaching Hospital, Enugu, South East Nigeria

Onoh Linus U.M.


Abstract


Aim: To assess the patterns of management of Diabetic Mellitus and the outcome in the Enugu State University Teaching Hospital, Enugu Nigeria. Method: A total of 422patients with type-2 Diabetes Mellitus (DM) who were being managed at the Enugu State University Teaching Hospital were studied within a six months period. They were issued with structured self - administered questionnaires which collected information on their socio-demographic profiles, types of management patterns being used for their illness ie, insulin therapy, oral hypoglycemic drugs, dietary restrictions and in some cases a combination of both. Results: The patients were well-matched for gender i.e. 51.9% males while 49.1% females. About 87.9% were above the age of 40years while 63.5% of them were married. About 67.7% of the patients were employed, while some were in the government sector, others were in the private sector and the remaining were self employed. About 75.6% had basic education from the secondary level and above. About 6.9% of patients were being managed solely on dietary control, 24.9% were on drug therapy, while 68.2% were on both drug and dietary therapy. 38.9% are on insulin therapy, 81.5% use their personal glucometer to monitor their blood sugar. 76.1% testified that they have done well with the pattern used to manage their illness and hence were satisfied with it. Conclusion: Type- 2 Diabetes Mellitus is a disease of old age hence over 87% of the patients in this study were above 40years. About 70% were employed and of course the disease would have an effect on their jobs. Over 68% of the patients were on both dietary and drug therapy and 81.5% use their personal glucometer to monitor their blood sugar. Since 76.1% are satisfied with the outcome of their treatment, it means these management patterns are effective for the DM patients in ESUT Teaching Hospital Enugu.


keywords:

Enugu State University Teaching Hospital, Patterns of Management of Diabetes Mellitus and the outcome


References:


1. Alshammary SA, Duraisamy B, Alsuhail A, Mhafzah M , saleem LM, Mohamed N,
Ratnapalan
S, 2016. Diabetes management patterns in a palliative care unit in Saudi Arabia. J Health
spec ;4(1): pg 116-121

2. "Causes of Diabetes". National Institute of Diabetes and Digestive and Kidney Diseases.
June 2014. Archived from the original on 2 February 2016. Retrieved 10 February 2016.

3. Datta –Nemdharry P, Thomson A, Beynon J, Donegan K,2016 . Patterns of anti-diabetic
medication use in patients with type 2 diabetes mellitus in England and Wales.
Pharmacoepidemiol Drug saf. ;26(2) pg127-135

4. "Diagnosis of Diabetes and Prediabetes". National Institute of Diabetes and Digestive and
Kidney Diseases. June 2014. Archived from the original on 6 March 2016. Retrieved 10
February 2016.

5. "Diabetes Fact sheet N°312". World Health Organization. August 2011. Archived from
the original on 26 August 2013. Retrieved 2012-01-09.

6. Fasanmade OA, Odeniyi IA, Ogbera AO (June 2008). "Diabetic ketoacidosis: diagnosis
and management". African Journal of Medicine and Medical Sciences. 37 (2): 99–105.
PMID 18939392.

7. Gardner DG, Shoback D, eds. (2011). "Chapter 17: Pancreatic hormones & diabetes
mellitus".Greenspan's basic & clinical endocrinology (9th ed.). New York: McGraw-Hill
Medical. ISBN 978-0-07-162243-1. OCLC 613429053.

9. Jingi AM, Nansseu JR, Noubia JJ, 2015 April. Primary care physicians practice regarding
diabetes mellitus diagnosis evaluation and management in the west region of Cameroon.
BMC Endocr Disord ;15(1): pg18

10. MacKay I, Rose N, eds. (2014). The Autoimmune Diseases. Academic Press. p. 575.
ISBN 978
0-123-84929-8. OCLC 965646175.

11. Nwawuba Stanley Udogadi, Nwozo Sarah Onyenibe et al. 2019 “Dietary Management
of Diabetes Mellitus with Focus on Nigeria” International Journal of Diabetes Research
Vol. 2. No.1

12. Pasquel FJ, Umpierrez GE (November 2014). "Hyperosmolar hyperglycemic state: a
historicreview of the clinical presentation, diagnosis, and treatment". Diabetes Care. 37
(11): 3124–31. doi:10.2337/dc14-0984. PMC 4207202. PMID 25342831.

13. Rasaq A, Titilayo O.F. 2016 jun Do diabetes-specialty clinics differ in management
approach and outcome? A cross-sectional assessment type 2 diabetes patients in two
teaching hospital in Nigeria. Ghana Med J pg;50(2):90-102


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