Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Improved glycemic control and acute complications among children with type 1 diabetes mellitus in Moshi, Tanzania
Pediatric Diabetes, Volume 14, No. 3, Year 2013
Notification
URL copied to clipboard!
Description
Objective: There are an estimated 1000 children with diabetes in Tanzania. Recently, the first two pediatric endocrinologists, trained in the European Society for Paediatric Endocrinology (ESPE)/International Society for Paediatric and Adolescent Diabetes (ISPAD) program in Nairobi, Kenya, entered practice. The purpose of this study was to prospectively assess the impact of a 6-month diabetes management and education program on glycemic control and acute complications in children and adolescents in Tanzania. Research design and methods: Eighty-one patients aged 3-19yr were enrolled. All were on split-dose Insulatard (Neutral Protamine Hagedorn) and Actrapid (soluble, regular) insulin, and were given three glucose test strips per week. Children were seen in clinic an average of six times over 6months and received 3h of diabetes education. A structured questionnaire evaluated social demographic data and acute complications. Results: Despite regular clinic attendance, diabetes education, and provision of insulin, hemoglobin A1c (HbA1c) levels did not improve. Four children (5%) had HbA1c 7.5%, 22 (28%) HbA1c 7.5-10%, 9 (24%) HbA1c 11-12.5%, and 36 (44%) HbA1c >12.5%. There was a substantial reduction in severe hypoglycemia, with 17% of subjects experiencing this acute complication compared to 52% in the 6months prior to study enrolment. Six children were admitted in diabetic ketoacidosis during the study compared to three during the previous 6months. Twenty-six children (36%) reported missing >6 doses of insulin (but only two lacked insulin). Conclusions: Diabetes education significantly reduced the risk of severe hypoglycemia, but better glycemic control of diabetes was not attained. Further study is needed to explore factors to improve glycemic control including increased testing, or perhaps different insulin regimens. © 2013 John Wiley & Sons A/S.
Authors & Co-Authors
Mukama, Lulengo J.
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Moran, Antoinette M.
United States, Minneapolis
University of Minnesota Twin Cities
Nyindo, Mramba B.A.
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Philemon, Rune Nathaniel
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Msuya, Levina January
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Statistics
Citations: 23
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1111/pedi.12005
ISSN:
1399543X
e-ISSN:
13995448
Research Areas
Health System And Policy
Maternal And Child Health
Noncommunicable Diseases
Study Locations
Kenya
Tanzania