PMID: 2111723Apr 28, 1990Paper

Diabetes in tropical Africa: a prospective study, 1981-7. II. Course and prognosis

BMJ : British Medical Journal
D G McLartyA B Swai

Abstract

To determine the clinical course of diabetes mellitus in tropical Africa. Continuing care and follow up until 31 March 1989 of all newly diagnosed diabetic patients registered at one hospital between 1 June 1981 and 31 May 1987. Muhimbili Medical Centre, Dar es Salaam, Tanzania. 1250 Newly diagnosed diabetic patients seen over a six year period. 272 (21.8%) Had diabetes requiring insulin, 825 (66.0%) diabetes not requiring insulin, and 153 (12.2%) diabetes of uncertain type. Survival rates during each year of follow up. 205 (16.4%) Patients were known to have died, 126 (61.5%) in hospital and 79 (38.5%) in the community. At least a further 71 patients were likely to have died. The five year survival rates (95% confidence intervals) for patients with diabetes requiring and not requiring insulin were 71% (62% to 80%) and 84% (80% to 89%) respectively for known deaths and 60% (51% to 69%) and 82% (77% to 86%) respectively for known plus probable deaths. 49 (3.9%) Patients died at the time of presentation. Severe diabetic ketoacidosis and infection were responsible for most deaths in patients with diabetes requiring insulin. Infection was responsible for 24% of deaths in patients with diabetes not requiring insulin and was the main...Continue Reading

References

Jan 1, 1975·The American Journal of Digestive Diseases·A C Wicks, D J Clain
Jan 1, 1989·British Medical Bulletin·K G Alberti
May 1, 1986·Diabetic Medicine : a Journal of the British Diabetic Association·F T Lester
May 14, 1988·British Medical Journal·D Machin, M J Gardner
Nov 9, 1985·British Medical Journal·M S HammersleyP A Thorn
Oct 1, 1974·Tropical Doctor·J M Steel, E N Mngola
Jan 1, 1980·Diabetologia·W M Castle, A C Wicks
Aug 1, 1982·Diabetologia·J Savige, F I Martin

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Citations

Sep 27, 2002·Diabetes/metabolism Research and Reviews·Ayesha A Motala
Oct 11, 2008·Diabetologia·G V GillS Tesfaye
Feb 16, 1999·The Journal of Laboratory and Clinical Medicine·K Osei
Mar 1, 1997·Diabetes Research and Clinical Practice·A Gebre-Yohannes, S I Rahlenbeck
Jul 3, 1998·Diabetes Research and Clinical Practice·L PapozJ C Cuisinier-Raynal
Sep 1, 1990·Diabetic Medicine : a Journal of the British Diabetic Association·D G McLartyA B Swai
Jan 1, 1991·Diabetic Medicine : a Journal of the British Diabetic Association·M G AsfourH King
Apr 1, 1991·Diabetic Medicine : a Journal of the British Diabetic Association·F T Lester
Jun 1, 1992·Diabetic Medicine : a Journal of the British Diabetic Association·M RolfeM George
Jul 1, 1992·Diabetic Medicine : a Journal of the British Diabetic Association·M H Makame
Mar 1, 1993·Diabetic Medicine : a Journal of the British Diabetic Association·G V Gill, K R Huddle
Mar 1, 1993·Diabetic Medicine : a Journal of the British Diabetic Association·A B SwaiK G Alberti
Jun 1, 1995·Diabetic Medicine : a Journal of the British Diabetic Association·G V GillM Rolfe
May 9, 1992·BMJ : British Medical Journal·S S ChaleD G McLarty
Sep 24, 1994·BMJ : British Medical Journal·K G Alberti
Oct 1, 2008·International Journal of Diabetes in Developing Countries·Mario Azevedo, Sridevi Alla
Sep 9, 2011·Cardiovascular Journal of Africa·Andre Pascal KengneBongani M Mayosi
Dec 18, 2013·Diabetes Research and Clinical Practice·Chris PattersonMartin Silink
Jul 9, 2010·Lancet·Jean Claude N MbanyaSostanie T Enoru
Sep 15, 2009·Primary Care Diabetes·Andre Pascal KengneJean-Claude Mbanya
Jan 1, 1992·Baillière's Clinical Endocrinology and Metabolism·W Berger, U Keller
Jul 20, 2010·Diabetes/metabolism Research and Reviews·Vivian C TueiChung-Eun Ha
Mar 20, 2013·Diabetic Medicine : a Journal of the British Diabetic Association·S ChengS D Pastakia
Oct 12, 2013·Tropical Medicine & International Health : TM & IH·A N Murunga, P M O Owira
Jun 26, 2002·Annals of Tropical Medicine and Parasitology·S D S PionM Boussinesq
Apr 16, 2016·Global Public Health·Jannie NielsenSusan R Whyte
Nov 3, 2010·Diabetology & Metabolic Syndrome·Antonio D Evaristo-NetoMilton C Foss
May 27, 2016·Current Opinion in Endocrinology, Diabetes, and Obesity·Thereza Piloya-WereAntoinette Moran
Apr 3, 2016·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Jannie NielsenSusan R Whyte
Feb 20, 2004·Public Health Nutrition·N P SteynA Louheranta
Jun 12, 2010·Diabetic Medicine : a Journal of the British Diabetic Association·M T MuyerE Muls
Jan 13, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·G V GillG Monkoe
Oct 8, 1997·Tropical Doctor·S Bosseri, G Gill
Oct 31, 2002·Tropical Doctor·Geoffrey GillJennifer Eriksson-Lee
Oct 1, 1995·Australian Journal of Public Health·C B PhillipsT S Weeramanthri
May 16, 2020·Nature Reviews. Disease Primers·Ketan K DhatariyaGuillermo E Umpierrez

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