PMID: 9649954Jul 3, 1998Paper

Clinical classification of diabetes in tropical west Africa

Diabetes Research and Clinical Practice
L PapozJ C Cuisinier-Raynal

Abstract

The objective of this work was to classify and describe the different types of diabetic patients detected in West Africa. In four health centres (three in Ivory Coast, one in Niger) 310 new cases were detected and followed up over 1 year. Classification was based on age at diagnosis, BMI, ketonuria, basal and stimulated C-peptide levels at inclusion, and response to antidiabetic therapy. In this population, males were predominant (sex ratio = 2.40), and random blood glucose levels very high at screening (mean +/- SE, 18.6 +/- 0.4 mmol/l). Only one case of fibrocalculous pancreatic diabetes and one possible case of diabetes mellitus related to malnutrition were detected. IDDM was diagnosed in 11.3% of the patients, half of them above 35 years. Leanness was observed in 59% of the patients with NIDDM. A dramatic decrease of fasting blood glucose was observed in all groups after 2 months of treatment, especially in NIDDM. As IDDM and non-obese NIDDM presented great similarities before treatment, even for C-peptide levels, a point score system is proposed to classify these two groups at baseline. In conclusion, it is confirmed that the form of diabetes previously defined as related to malnutrition is a very rare entity in black Afri...Continue Reading

References

Oct 31, 1992·BMJ : British Medical Journal·A B SwaiD G McLarty
Jul 1, 1992·Diabetes Research and Clinical Practice·M DucorpsD Simon
Apr 28, 1990·BMJ : British Medical Journal·D G McLartyA B Swai
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Dec 28, 2002·Diabetes Care·UNKNOWN Expert Committee on the Diagnosis and Classification of Diabetes Mellitus

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Citations

Jun 6, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Kenneth ChallisStaffan Bergström
Nov 15, 2014·Acta Diabetologica·Ranjit Unnikrishnan, Viswanathan Mohan
Mar 5, 2002·Diabetes Care·Elias S SirajCharles Faiman
Feb 17, 2005·Diabetes Research and Clinical Practice·François FavierUNKNOWN REDIA Study Group

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