Prevalence of dysglycemia in Calabar: a cross-sectional observational study among residents of Calabar, Nigeria

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dc.contributor.authorEnang, O.E
dc.contributor.authorOtu, A.A
dc.contributor.authorEssien, O.E
dc.contributor.authorOkpara, H
dc.contributor.authorSearle, J
dc.contributor.authorFasanmade, O.
dc.date.accessioned2019-11-12T10:17:56Z
dc.date.available2019-11-12T10:17:56Z
dc.date.issued2014-06
dc.descriptionStaff publicationsen_US
dc.description.abstractOBJECTIVE: Population data on dysglycemia are scarce in West Africa. This study aimed to determine the pattern of dysglycemia in Calabar city in South East Nigeria. DESIGN: This was a cross-sectional observational study. METHODS: 1134 adults in Calabar were recruited. A multistage sampling method randomly selected 4 out of 22 wards, and 50 households from each ward. All adults within each household were recruited and an oral glucose tolerance test was performed. Dysglycemia was defined as any form of glucose intolerance, including: impaired fasting glucose (blood glucose level 110-125 mg/dL), impaired glucose tolerance (blood glucose level ≥140 mg/dL 2 h after consuming 75 g of glucose), or diabetes mellitus (DM), as defined by fasting glucose level ≥126 mg/dL, or a blood glucose level ≥200 mg/dL, 2 h after a 75 g glucose load. RESULTS: Mean values of fasting plasma glucose were 95 mg/dL (95% CI 92.1 to 97.5) for men and 96 mg/dL (95% CI 93.2 to 98.6) for women. The overall prevalence of dysglycemia was 24%. The prevalence of impaired fasting glucose was 9%, the prevalence of impaired glucose tolerance 20%, and the prevalence of undiagnosed DM 7%. All values were a few percentage points higher for men than women. CONCLUSIONS: The prevalence of undiagnosed DM among residents of Calabar is similar to studies elsewhere in Nigeria but much higher than the previous national prevalence survey, with close to a quarter of the adults having dysglycemia and 7% having undiagnosed DM. This is a serious public health problem requiring a programme of mass education and case identification and management in all health facilitiesen_US
dc.identifier.citationEnang OE, Otu AA, Essien OE, Okpara H, Fasanmade OA, Ohwovoriole AE, Searle J. Prevalence of dysglycemia in Calabar: a cross-sectional observational study among residents of Calabar, Nigeria. BMJ Open Diabetes Res Care. 2014 Jun 20;2(1):e000032. doi: 10.1136/bmjdrc-2014-000032en_US
dc.identifier.issn20524897
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/6808
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.subjectDiabetogenic T-cellsen_US
dc.subjectdysglycemiaen_US
dc.subjectGlucose intoleranceen_US
dc.subjectResearch Subject Categories::MEDICINEen_US
dc.titlePrevalence of dysglycemia in Calabar: a cross-sectional observational study among residents of Calabar, Nigeriaen_US
dc.typeArticleen_US
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