Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana
Objective: The objective of this study was to determine the burden of diagnosed and undiagnosed type 2 diabetes mellitus among patients hospitalised with acute heart failure in Botswana. Methods: The study enrolled 193 consecutive patients admitted with acute heart failure to the medical wards at Pr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-09-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/2050312117731473 |
| _version_ | 1819008668223406080 |
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| author | Julius Chacha Mwita Mgaywa Gilbert Mjungu Damas Magafu Bernard Omech Billy Tsima Matthew J Dewhurst Monkgogi Goepamang Yohana Mashalla |
| author_facet | Julius Chacha Mwita Mgaywa Gilbert Mjungu Damas Magafu Bernard Omech Billy Tsima Matthew J Dewhurst Monkgogi Goepamang Yohana Mashalla |
| author_sort | Julius Chacha Mwita |
| collection | DOAJ |
| description | Objective: The objective of this study was to determine the burden of diagnosed and undiagnosed type 2 diabetes mellitus among patients hospitalised with acute heart failure in Botswana. Methods: The study enrolled 193 consecutive patients admitted with acute heart failure to the medical wards at Princess Marina Hospital in Gaborone. Patients were classified as previously known diabetics, undiagnosed diabetics (glycated haemoglobin ≥ 6.5%) or as non-diabetics (glycated haemoglobin < 6.5%). Data on other comorbid conditions such as hypertension, atrial fibrillation, ischaemic heart disease, stroke, and renal failure were also collected. Results: The mean (SD) age of the participants was 54.2 (17.1) years and 53.9% were men. The percentage of known and undiagnosed diabetes mellitus was 15.5% and 12.4%, respectively. Diabetic patients were significantly more likely to have hypertension (77.8% vs 46.0%, p < 0.001), ischaemic heart disease (20.4% vs 5.0%, p < 0.001), chronic kidney disease (51.3% vs 23.0%, p < 0.001), and stroke (20.4% vs 5.8%, p < 0.01). In addition, diabetics were older than non-diabetics (61.0 years vs 51.6 years, p < 0.001). Conclusion: About 27.9% of patients admitted with acute heart failure in Botswana had diabetes, and almost half of them presented with undiagnosed diabetes. These findings indicate that all hospitalised patients should be screened for diabetes. |
| first_indexed | 2024-12-21T00:44:08Z |
| format | Article |
| id | doaj.art-bfd59b74b9984ad6bf8d8333954123ef |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-12-21T00:44:08Z |
| publishDate | 2017-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-bfd59b74b9984ad6bf8d8333954123ef2022-12-21T19:21:35ZengSAGE PublishingSAGE Open Medicine2050-31212017-09-01510.1177/2050312117731473Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in BotswanaJulius Chacha Mwita0Mgaywa Gilbert Mjungu Damas Magafu1Bernard Omech2Billy Tsima3Matthew J Dewhurst4Monkgogi Goepamang5Yohana Mashalla6Faculty of Medicine, University of Botswana, Gaborone, BotswanaFaculty of Medicine, University of Botswana, Gaborone, BotswanaFaculty of Medicine, University of Botswana, Gaborone, BotswanaFaculty of Medicine, University of Botswana, Gaborone, BotswanaDepartment of Cardiology, University Hospital Hartlepool, Hartlepool, UKPrincess Marina Hospital, Gaborone, BotswanaFaculty of Medicine, University of Botswana, Gaborone, BotswanaObjective: The objective of this study was to determine the burden of diagnosed and undiagnosed type 2 diabetes mellitus among patients hospitalised with acute heart failure in Botswana. Methods: The study enrolled 193 consecutive patients admitted with acute heart failure to the medical wards at Princess Marina Hospital in Gaborone. Patients were classified as previously known diabetics, undiagnosed diabetics (glycated haemoglobin ≥ 6.5%) or as non-diabetics (glycated haemoglobin < 6.5%). Data on other comorbid conditions such as hypertension, atrial fibrillation, ischaemic heart disease, stroke, and renal failure were also collected. Results: The mean (SD) age of the participants was 54.2 (17.1) years and 53.9% were men. The percentage of known and undiagnosed diabetes mellitus was 15.5% and 12.4%, respectively. Diabetic patients were significantly more likely to have hypertension (77.8% vs 46.0%, p < 0.001), ischaemic heart disease (20.4% vs 5.0%, p < 0.001), chronic kidney disease (51.3% vs 23.0%, p < 0.001), and stroke (20.4% vs 5.8%, p < 0.01). In addition, diabetics were older than non-diabetics (61.0 years vs 51.6 years, p < 0.001). Conclusion: About 27.9% of patients admitted with acute heart failure in Botswana had diabetes, and almost half of them presented with undiagnosed diabetes. These findings indicate that all hospitalised patients should be screened for diabetes.https://doi.org/10.1177/2050312117731473 |
| spellingShingle | Julius Chacha Mwita Mgaywa Gilbert Mjungu Damas Magafu Bernard Omech Billy Tsima Matthew J Dewhurst Monkgogi Goepamang Yohana Mashalla Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana SAGE Open Medicine |
| title | Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana |
| title_full | Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana |
| title_fullStr | Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana |
| title_full_unstemmed | Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana |
| title_short | Undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in Botswana |
| title_sort | undiagnosed and diagnosed diabetes mellitus among hospitalised acute heart failure patients in botswana |
| url | https://doi.org/10.1177/2050312117731473 |
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