Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study
Abstract Background Prediabetes has been proposed as a risk factor for the development of type 2 diabetes mellitus (DM2) and cardiovascular disease (CVD). Despite the clinical importance of prediabetes, little is known about the level of knowledge, beliefs and barriers to screening and treating pred...
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Diabetology & Metabolic Syndrome |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13098-019-0500-4 |
| _version_ | 1818562445068730368 |
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| author | Jennifer Garay Paul A. Camacho Jose Lopez-Lopez Juliana Alvernia Marcela Garcia Daniel D. Cohen Carlos Calderon Patricio Lopez-Jaramillo |
| author_facet | Jennifer Garay Paul A. Camacho Jose Lopez-Lopez Juliana Alvernia Marcela Garcia Daniel D. Cohen Carlos Calderon Patricio Lopez-Jaramillo |
| author_sort | Jennifer Garay |
| collection | DOAJ |
| description | Abstract Background Prediabetes has been proposed as a risk factor for the development of type 2 diabetes mellitus (DM2) and cardiovascular disease (CVD). Despite the clinical importance of prediabetes, little is known about the level of knowledge, beliefs and barriers to screening and treating prediabetes amongst care health providers in Latin America. The aim of the present survey was to evaluate the knowledge and beliefs about prediabetes amongst in Latin American health care providers. Methodology In a cross-sectional study, we adapted the written survey designed by the Johns Hopkins University group, and applied it to health care providers across Latin America during three meetings, in 2017, and with physicians from primary care centers in Bucaramanga, Colombia convened in 2017. The survey consisted of questions under four headings, diabetes screening, management of prediabetes, pharmacological treatment—metformin use, and demographic information. We perform a descriptive analysis to determine the differences in responses between different medical specialties. Results The majority of the care providers that answered the survey were Colombian physicians, 54.5% of respondents had 10 years or more since completing their training and more women responded. Only 9.5% identified the 12 prediabetes risk factors described in the literature. The most common risk factor identified was a family history of diabetes, followed by overweight, a sedentary lifestyle and dyslipidemia, while ethnicity was the risk factor least commonly. 47.1% answered that laboratory tests to detect prediabetes are fasting glucose and HbA1C, 82.5% correctly identified fasting plasma glucose as the best test, 35.9% correctly responded that to the recommended weight loss goal is 5 to 7% and 49.1% that 150 min is considered the minimum level of physical activity per week. 78% agreed that the identification and treatment of prediabetes is important. 56% believed that patients with prediabetes progress more rapidly to diabetes and 40.6% considered that metformin could reduce the risk of diabetes in patients already diagnosed with prediabetes. Conclusion These results demonstrate that there are important gaps in the knowledge of the diagnosis, clinical implications and management of prediabetes amongst Latin America health providers. |
| first_indexed | 2024-12-14T01:03:49Z |
| format | Article |
| id | doaj.art-399f93d6de2845b185281150c420244d |
| institution | Directory Open Access Journal |
| issn | 1758-5996 |
| language | English |
| last_indexed | 2024-12-14T01:03:49Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Diabetology & Metabolic Syndrome |
| spelling | doaj.art-399f93d6de2845b185281150c420244d2022-12-21T23:23:04ZengBMCDiabetology & Metabolic Syndrome1758-59962019-12-011111710.1186/s13098-019-0500-4Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional studyJennifer Garay0Paul A. Camacho1Jose Lopez-Lopez2Juliana Alvernia3Marcela Garcia4Daniel D. Cohen5Carlos Calderon6Patricio Lopez-Jaramillo7Research Department, Fundacion Oftalmologica de Santander (FOSCAL) InternacionalResearch Department, Fundacion Oftalmologica de Santander (FOSCAL) InternacionalResearch Department, Fundacion Oftalmologica de Santander (FOSCAL) InternacionalResearch Department, Fundacion Oftalmologica de Santander (FOSCAL) InternacionalResearch Department, Fundacion Oftalmologica de Santander (FOSCAL) InternacionalResearch Department, Fundacion Oftalmologica de Santander (FOSCAL) InternacionalFundación Santandereana de Diabetes (FUSANDE)Research Department, Fundacion Oftalmologica de Santander (FOSCAL) InternacionalAbstract Background Prediabetes has been proposed as a risk factor for the development of type 2 diabetes mellitus (DM2) and cardiovascular disease (CVD). Despite the clinical importance of prediabetes, little is known about the level of knowledge, beliefs and barriers to screening and treating prediabetes amongst care health providers in Latin America. The aim of the present survey was to evaluate the knowledge and beliefs about prediabetes amongst in Latin American health care providers. Methodology In a cross-sectional study, we adapted the written survey designed by the Johns Hopkins University group, and applied it to health care providers across Latin America during three meetings, in 2017, and with physicians from primary care centers in Bucaramanga, Colombia convened in 2017. The survey consisted of questions under four headings, diabetes screening, management of prediabetes, pharmacological treatment—metformin use, and demographic information. We perform a descriptive analysis to determine the differences in responses between different medical specialties. Results The majority of the care providers that answered the survey were Colombian physicians, 54.5% of respondents had 10 years or more since completing their training and more women responded. Only 9.5% identified the 12 prediabetes risk factors described in the literature. The most common risk factor identified was a family history of diabetes, followed by overweight, a sedentary lifestyle and dyslipidemia, while ethnicity was the risk factor least commonly. 47.1% answered that laboratory tests to detect prediabetes are fasting glucose and HbA1C, 82.5% correctly identified fasting plasma glucose as the best test, 35.9% correctly responded that to the recommended weight loss goal is 5 to 7% and 49.1% that 150 min is considered the minimum level of physical activity per week. 78% agreed that the identification and treatment of prediabetes is important. 56% believed that patients with prediabetes progress more rapidly to diabetes and 40.6% considered that metformin could reduce the risk of diabetes in patients already diagnosed with prediabetes. Conclusion These results demonstrate that there are important gaps in the knowledge of the diagnosis, clinical implications and management of prediabetes amongst Latin America health providers.https://doi.org/10.1186/s13098-019-0500-4Latin AmericaPrediabetesKnowledgeDiagnosisManagement |
| spellingShingle | Jennifer Garay Paul A. Camacho Jose Lopez-Lopez Juliana Alvernia Marcela Garcia Daniel D. Cohen Carlos Calderon Patricio Lopez-Jaramillo Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study Diabetology & Metabolic Syndrome Latin America Prediabetes Knowledge Diagnosis Management |
| title | Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study |
| title_full | Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study |
| title_fullStr | Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study |
| title_full_unstemmed | Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study |
| title_short | Survey of knowledge for diagnosing and managing prediabetes in Latin-America: cross-sectional study |
| title_sort | survey of knowledge for diagnosing and managing prediabetes in latin america cross sectional study |
| topic | Latin America Prediabetes Knowledge Diagnosis Management |
| url | https://doi.org/10.1186/s13098-019-0500-4 |
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