scholarly journals Prevalence and Predictors of Diabetes Mellitus Among Persons Living With HIV (PLWH)

2020 ◽  
Author(s):  
DAVID MOHAMMED UMAR ◽  
PANJASARAM NAIDOO
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Health Care ◽  
Blood Sugar ◽  
Health Care Facilities ◽  
Older Age ◽  
Persons Living With Hiv ◽  
Kwazulu Natal ◽  
Care Facilities ◽  
Living With Hiv

Abstract Background: Diabetes mellitus is a chronic non-infectious medical condition which is evident by raised levels of glucose in the blood, because the body cannot produce any or enough of the hormone insulin or use insulin effectively. Diabetes, if not well managed leads to complications such as neuropathy, retinopathy, nephropathy which can be fatal. Some of the factors that predisposes to diabetes include older age, higher body mass index, heredity and hypertension. With the availability of HAART for the managing HIV/AIDS infection, life span of persons living with HIV (PLWH) has increased significantly. With increased longevity, the aging population of PLWH also face chronic diseases such as diabetes in addition to HIV. The burden of both HIV and diabetes is high in South Africa, particularly in KwaZulu-Natal. Nevertheless, the prevalence of diabetes among PLWH in KwaZulu-Natal and its predictors is not well understood. Therefore, this study was conducted to determine the prevalence, predictors of diabetes and the outcome of managing diabetes among PLWH.Methods: The study was conducted in four public health care facilities in KwaZulu-Natal after ethical approval and informed consent were obtained. A pretested questionnaire and hospital patient charts were used to collect data. SPSS version was used to analyze the data using descriptive statistics and logistic regression. Results: The prevalence of diabetes among PLWH was 9%. This was higher than the prevalence of diabetes of 5.4% among the general population in South Africa. Just over 47% of those who had diabetes, had uncontrolled blood sugar, with a mean fasting blood sugar (FBS) of 11.7 mmol/L. The predictors of diabetes among PLWH were, male gender and older age. Male PLWH had 65% less chances of having diabetes and those who were between the ages of 18 and 48 years were 88% less probable to have diabetes compared to those who were older than 48 years.Conclusion: Public sector health care facilities in KwaZulu-Natal need to do much more to manage diabetes in PLWH in order to prevent diabetic complications and possible negative impact on the outcome of HIV management.

scholarly journals Prevalence And Predictors Of Diabetes Mellitus Among Persons Living With Hiv (Plwhiv)

2020 ◽  
Author(s):  
DAVID MOHAMMED UMAR ◽  
PANJASARAM NAIDOO
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Health Care ◽  
Blood Sugar ◽  
Health Care Facilities ◽  
Older Age ◽  
Persons Living With Hiv ◽  
Kwazulu Natal ◽  
Care Facilities ◽  
Living With Hiv

Abstract Background: Diabetes mellitus is a chronic non-infectious medical condition which is evident by raised levels of glucose in the blood, because the body cannot produce any or enough of the hormone insulin or use insulin effectively. Diabetes, if not well managed leads to complications such as neuropathy, retinopathy, nephropathy which can be fatal. Some of the factors that predisposes to diabetes include older age, higher body mass index, heredity and hypertension. With the availability of HAART for the managing HIV/AIDS infection, life span of persons living with HIV (PLWHIV) has increased significantly. With increased longevity, the aging population of PLWHIV also face chronic diseases such as diabetes in addition to HIV. The burden of both HIV and diabetes is high in South Africa, particularly in KwaZulu-Natal. Nevertheless, the prevalence of diabetes among PLWHIV in KwaZulu-Natal and its predictors is not well understood. Therefore, this study was conducted to determine the prevalence, predictors of diabetes and the outcome of managing diabetes among PLWHIV.Methods: The study was conducted in four public health care facilities in KwaZulu-Natal after ethical approval and informed consent were obtained. A pretested questionnaire and hospital patient charts were used to collect data. SPSS version 26 was used to analyze the data using descriptive statistics and logistic regression. Results: The prevalence of diabetes among PLWHIV was 9%. This was higher than the prevalence of diabetes of 5.4% among the general population in South Africa. Just over 47% of those who had diabetes, had uncontrolled blood sugar, with a mean fasting blood sugar (FBS) of 11.7 mmol/L. The predictors of diabetes among PLWHIV were, male gender and older age. Male PLWHIV had 65% less chances of having diabetes and those who were between the ages of 18 and 48 years were 88% less probable to have diabetes compared to those who were older than 48 years. Conclusion: Public sector health care facilities in KwaZulu-Natal need to do much more to manage diabetes in PLWHIV in order to prevent diabetic complications and possible negative impact on the outcome of HIV management.

scholarly journals Prevalence And Predictors Of Diabetes Mellitus Among Persons Living With HIV: A Retrospective Cohort Study Conducted In 4 Public Healthcare Facilities In Kwazulu-Natal

2020 ◽  
Author(s):  
David Mohammed Umar ◽  
Panjasaram Naidoo
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Health Care Facilities ◽  
Persons Living With Hiv ◽  
Kwazulu Natal ◽  
Care Facilities ◽  
Living With Hiv

Abstract Background: Diabetes mellitus is a chronic non-infectious medical condition which is evident by raised levels of glucose in the blood, because the body cannot produce any or enough of the hormone insulin or use insulin effectively. Diabetes, if not well managed leads to complications such as neuropathy, retinopathy, nephropathy which can be fatal. Some of the factors that predisposes to diabetes include older age, higher body mass index, heredity and hypertension. With the availability of HAART for managing HIV/AIDS infection, life span of persons living with HIV (PLWHIV) has increased significantly. With increased longevity, the aging population of PLWHIV also face chronic diseases such as diabetes in addition to HIV. The burden of both HIV and diabetes is high in South Africa, particularly in KwaZulu-Natal. Nevertheless, the prevalence of diabetes among PLWHIV in KwaZulu-Natal and its predictors is not well understood. Therefore, this study was conducted to determine the prevalence, predictors of diabetes and the outcome of managing diabetes among PLWHIV.Methods: This retrospective cohort study was conducted in four public health care facilities in KwaZulu-Natal with a total sample size of 1203 after ethical approval and informed consent were obtained. A pretested questionnaire and hospital patient charts were used to collect data. SPSS version 26 was used to analyze the data using descriptive statistics and logistic regression. Results: The prevalence of diabetes among PLWHIV was 9%. Just over 47% of those who had diabetes, had uncontrolled blood sugar, with a mean fasting blood sugar (FBS) of 11.7 mmol/L. The predictors of diabetes among PLWHIV were, male gender and older age. Male PLWHIV had 65% less chances of having diabetes and those who were between the ages of 18 and 48 years were 88% less probable to have diabetes compared to those who were older than 48 years. Conclusion: Public sector health care facilities in KwaZulu-Natal need to do much more to manage diabetes in PLWHIV in order to prevent diabetic complications and possible negative impact on the outcome of HIV management.

scholarly journals Prevalence And Predictors Of Diabetes Mellitus Among Persons Living With HIV: A Retrospective Cohort Study Conducted In 4 Public Healthcare Facilities In Kwazulu-Natal

2021 ◽  
Author(s):  
David Mohammed Umar ◽  
Panjasaram Naidoo
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Health Care Facilities ◽  
Persons Living With Hiv ◽  
Kwazulu Natal ◽  
Care Facilities ◽  
Living With Hiv

Abstract Background: Diabetes mellitus is a chronic non-infectious medical condition which is evident by raised levels of glucose in the blood, because the body cannot produce any or enough of the hormone insulin or use insulin effectively. Diabetes, if not well managed leads to complications such as neuropathy, retinopathy, nephropathy which can be fatal. Some of the factors that predisposes to diabetes include older age, higher body mass index, heredity and hypertension. With the availability of HAART for managing HIV/AIDS infection, life span of persons living with HIV (PLWHIV) has increased significantly. With increased longevity, the aging population of PLWHIV also face chronic diseases such as diabetes in addition to HIV. The burden of both HIV and diabetes is high in South Africa, particularly in KwaZulu-Natal. Nevertheless, the prevalence of diabetes among PLWHIV in KwaZulu-Natal and its predictors is not well understood. Therefore, this study was conducted to determine the prevalence, predictors of diabetes and the outcome of managing diabetes among PLWHIV.Methods: This retrospective cohort study was conducted in four public health care facilities in KwaZulu-Natal with a total sample size of 1203 after ethical approval and informed consent were obtained. A pretested questionnaire and hospital patient charts were used to collect data. SPSS version 26 was used to analyze the data using descriptive statistics and logistic regression. Results: The prevalence of diabetes among PLWHIV was 9%. Just over 47% of those who had diabetes, had uncontrolled blood sugar, with a mean fasting blood sugar (FBS) of 11.7 mmol/L. The predictors of diabetes among PLWHIV were male gender and older age. Male PLWHIV had 65% less chances of having diabetes and those who were between the ages of 18 and 48 years were 88% less probable to have diabetes compared to those who were older than 48 years. Conclusion: Public sector health care facilities in KwaZulu-Natal need to do much more to manage diabetes in PLWHIV in order to prevent diabetic complications and possible negative impact on the outcome of HIV management.

scholarly journals Prevalence and predictors of diabetes mellitus among persons living with HIV: a retrospective cohort study conducted in 4 public healthcare facilities in KwaZulu-Natal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
David Mohammed Umar ◽  
Panjasaram Naidoo
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Health Care Facilities ◽  
Persons Living With Hiv ◽  
Kwazulu Natal ◽  
Care Facilities ◽  
Living With Hiv

Abstract Background Diabetes mellitus is a chronic non-infectious medical condition which is evident by raised levels of glucose in the blood, because the body cannot produce any or enough of the hormone insulin or use insulin effectively. Diabetes, if not well managed leads to complications such as neuropathy, retinopathy, nephropathy which can be fatal. Some of the factors that predisposes to diabetes include older age, higher body mass index, heredity and hypertension. With the availability of HAART for managing HIV/AIDS infection, life span of persons living with HIV (PLWHIV) has increased significantly. With increased longevity, the aging population of PLWHIV also face chronic diseases such as diabetes in addition to HIV. The burden of both HIV and diabetes is high in South Africa, particularly in KwaZulu-Natal. Nevertheless, the prevalence of diabetes among PLWHIV in KwaZulu-Natal and its predictors is not well understood. Therefore, this study was conducted to determine the prevalence, predictors of diabetes and the outcome of managing diabetes among PLWHIV. Methods This retrospective cohort study was conducted in four public health care facilities in KwaZulu-Natal with a total sample size of 1203 after ethical approval and informed consent were obtained. A pretested questionnaire and hospital patient charts were used to collect data. SPSS version 26 was used to analyze the data using descriptive statistics and logistic regression. Results The prevalence of diabetes among PLWHIV was 9%. Just over 47% of those who had diabetes, had uncontrolled blood sugar, with a mean fasting blood sugar (FBS) of 11.7 mmol/L. The predictors of diabetes among PLWHIV were male gender and older age. Male PLWHIV had 65% less chances of having diabetes and those who were between the ages of 18 and 48 years were 88% less probable to have diabetes compared to those who were older than 48 years. Conclusion Public sector health care facilities in KwaZulu-Natal need to do much more to manage diabetes in PLWHIV in order to prevent diabetic complications and possible negative impact on the outcome of HIV management.

scholarly journals Factors Influence Diabetes Mellitus Control at a Primary Health Care Facility in Durban, South Africa

2021 ◽  
pp. 1-8
Author(s):  
Akm Monjurul Hoque ◽  
Akm Monjurul Hoque ◽  
Somaya Buckus ◽  
Maariyah Hoque ◽  
ME Hoque
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Health Care ◽  
Logistic Regression ◽  
Primary Health Care ◽  
Glycaemic Control ◽  
Blood Sugar ◽  
Health Care Facilities ◽  
Diabetes Control ◽  
Primary Health

Background: Type-2 diabetes mellitus, a non-communicable disease contributes significantly to morbidity and mortality in South Africa. It is considered a silent epidemic in certain countries in the world with the incidence expected to rapidly escalate due to ageing of the population. Little is known about the treatment outcome from Primary Health Care facilities in SA. The study estimated control and determinants of diabetes control among rural black patients attended a PHC facility. Method: A cross-sectional prospective design was adopted. Chi-square test was carried out to find significant association between dependent and independent variables. Forward stepwise logistic regression was performed to determine the significant predictor for diabetes control. Two-sided statistical tests were performed at 0.05 level of significance. Result: A total of 240 DM patients were recruited and (68.7%) of them had HbA1c level measured) and only 49 (29.7%) were found with glycaemic control. Logistic regression analysis showed that patients those read newspaper daily or almost daily were almost three times (OR=2.6) more likely to have control. Patients those measured the blood sugar at home were 4.4 times more likely to have their diabetes controlled. It was found that knowing normal blood sugar had four times more chances of controlling their diabetes than those did not know. Duration of DM treatment (5-9 years) was 60% less likely to have DM control that those had 10 or more years of DM treatment (p<0.05). Conclusion: Glycaemic control of DM was poor and identified several factors towards diabetes control among DM patient. Training and education to healthcare workers and DM patients may lead to improve DM control.

scholarly journals Sense (Scents) of South Africa

1999 ◽  
Vol 55 (1) ◽  
pp. 3-5
Author(s):  
Katherine F. Shepard
Keyword(s):  
South Africa ◽  
Health Care ◽  
South African ◽  
Health Care Facilities ◽  
Speech Pathology ◽  
African Society ◽  
South African Society ◽  
Care Facilities ◽  
The University ◽  
Physiotherapy Education

This paper presents a brief description of some of the author’s perceptions of the land, of physiotherapy education and practice and of the struggle of the nation of South Africa acquired during a 4 week visit in late spring 1997. One week was spent in Cape Town participating in several venues at the International Congress of the South African Society of Physiotherapy. Three weeks were spent at the University of the Witswatersrand in Johannesburg presenting a course in qualitative research to health care colleagues representing the disciplines of physical therapy, occupational therapy, speech pathology and occupational health. During the time in Johannesburg several health care facilities were visited including Baragwanath Hospital, Natal Hospital and the Wits Rural Facility and Tinswalo Hospital at Acornhoek.

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