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Titolo:
Diabetes mellitus in Egypt: Glycaemic control and microvascular and neuropathic complications
Autore:
Herman, WH; Aubert, RE; Engelgau, MM; Thompson, TJ; Ali, MA; Sous, ES; Hegazy, M; Badran, A; Kenny, SJ; Gunter, EW; Malarcher, AM; Brechner, RJ; Wetterhall, SF; DeStefano, F; Smith, PJ; Habib, M; abd el Shakour, S; Ibrahim, AS; el Behary, EM;
Indirizzi:
Univ Michigan, Med Ctr, Ann Arbor, MI 48109 USA Univ Michigan Ann Arbor MI USA 48109 an, Med Ctr, Ann Arbor, MI 48109 USA
Titolo Testata:
DIABETIC MEDICINE
fascicolo: 12, volume: 15, anno: 1998,
pagine: 1045 - 1051
SICI:
0742-3071(199812)15:12<1045:DMIEGC>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
EPIDEMIOLOGICAL COHORT; SENSORY NEUROPATHY; CLINICAL-DIAGNOSIS; PREVALENCE; MICROALBUMINURIA; RETINOPATHY; ONSET; COMMUNITY; DISEASE; FALSTER;
Keywords:
Egypt; Middle East; diabetes mellitus; epidemiology; glycosylated haemoglobin; blindness; diabetic retinopathy; diabetic nephropathy; diabetic neuropathy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Herman, WH Univbor,higan, Med Ctr, 1500 E Med Ctr Dr,3920 Taubman Ctr,Box 0354, Ann Ar Univ Michigan 1500 E Med Ctr Dr,3920 Taubman Ctr,Box 0354 Ann Arbor MI USA 48109
Citazione:
W.H. Herman et al., "Diabetes mellitus in Egypt: Glycaemic control and microvascular and neuropathic complications", DIABET MED, 15(12), 1998, pp. 1045-1051

Abstract

We performed a cross-sectional, population-based survey of persons 20 years of age and older living in Cairo and surrounding rural villages. The purpose was to describe glycaemic control and the prevalence of microvascular and neuropathic complications among Egyptians with diagnosed diabetes, previously undiagnosed diabetes, impaired glucose tolerance, and normal glucose tolerance. A total of 6052 households were surveyed. The response rate was 76 % for the household survey and 72 % for the medical examination. Among people with previously diagnosed diabetes, mean haemoglobin A(1c) was 9.0 %.forty-two per cent had retinopathy, 21 % albuminuria, and 22 % neuropathy. Legal blindness was prevalent (5 %) but clinical nephropathy (7 %) and foot ulcers (1 %) were uncommon in persons with diagnosed diabetes. Among people with diagnosed diabetes, microvascular and neuropathic complications were associated with hyperglycaemia. Retinopathy was also associated with duration of diabetes; albuminuria with hypertension and hypercholesterolaemia; and neuropathy with age, female sex, and hypercholesterolaemia. Albuminuriawas as common in people with previously undiagnosed diabetes (22 %) as those with diagnosed disease (21 %). Mean haemoglobin A(1c) was lower (7.8 %) and retinopathy (16 %) and neuropathy (14 %) were less prevalent in people with previously undiagnosed disease. Ocular conditions, blindness, and neuropathy were prevalent in the non-diabetic population. The microvascular andneuropathic complications of diabetes are a major clinical and public health problem in Egypt. (C) 1998 John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:48:34