Epidemiological Profile of Macroangiopathy in Type 2 Diabetic Patients at the National Reference University Hospital: Predictive Factors — Oak Academic Publishing
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Epidemiological Profile of Macroangiopathy in Type 2 Diabetic Patients at the National Reference University Hospital: Predictive Factors
Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
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Department of Medicine, Faculty of Health Sciences (FSS), University of Abéché, Abéché, Chad
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Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
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Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
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Diabetology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
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Department of Biological and Pharmaceutical Sciences, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
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Cardiology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
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Diabetology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
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Diabetology Department of the University Hospital of Yopougon, Abidjan, Côte d’Ivoire
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Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
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Cardiology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
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Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
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Diabetology Department of the University Hospital of Yopougon, Abidjan, Côte d’Ivoire
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Laboratory Department, National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
1 Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
2 Department of Medicine, Faculty of Health Sciences (FSS), University of Abéché, Abéché, Chad
3 Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
4 Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
5 Diabetology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
6 Department of Biological and Pharmaceutical Sciences, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
7 Cardiology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
8 Diabetology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
9 Diabetology Department of the University Hospital of Yopougon, Abidjan, Côte d’Ivoire
10 Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
11 Cardiology Department of the National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
12 Department of Medicine, Faculty of Human Health Sciences (FSSH), University of N’Djamena, N’Djamena, Chad
13 Diabetology Department of the University Hospital of Yopougon, Abidjan, Côte d’Ivoire
14 Laboratory Department, National Reference University Hospital (CHU-RN) of N’Djamena, N’Djamena, Chad
The objective of this study was to determine the risk factors related to diabetic macroangiopathy. This was a cross-sectional study with a descriptive and analytical aim over a period of six (06) months from January 1, 2022 to June 30, 2023 including 100 patients with type 2 diabetes with or without complications received in consultation and/or hospitalized in the cardiology and diabetology department of the National Reference University Hospital Center. The patients benefited from a meticulous questioning, a complete somatic examination and a biological assessment including in particular the dosage of dyslipidemia. The 100 subjects included in this study were categorized into group 1 with complications (n = 48) and group 2 without complications (n = 52). The prevalence of macroangiopathy was 48%. The mean age of the patients was 62.21 years for group 1 versus 61.94 years for group 2. The male sex was predominant in both groups with the overall sex ratio of 1.85 or 2.4 for group 1 versus 1.5 for group 2. The mean waist circumference was 100.13 ± 11.5 for group 1 versus 90.12 ± 8.7 for group 2. The mean fasting blood glucose was 2.9 ± 0.6 in group 1 versus 2.2 ± 0.32 for group 2. High blood pressure and smoking were predominant in group 1. The mean glycated hemoglobin was 9.6 ± 1.7 for group 1 versus 7.4 ± 0.6 for group 2. Most patients in group 1 were not undergoing medical monitoring of their diabetes and were on insulin, unlike subjects in group 2 who were on oral antidiabetics and were adhering to medical monitoring. Prevention of macroangiopathy in type 2 diabetic patients involves early screening of blood sugar, glycated hemoglobin and all cardiovascular risk factors.
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