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Table 2 Knowledge on diabetes, its diagnosis, evaluation and management

From: Primary care physicians’ practice regarding diabetes mellitus diagnosis, evaluation and management in the West region of Cameroon

 

Number (N = 66)

Percentage (%)

Level of FPG to define DM: correct

48

72.7

Level of FPG to define fasting hyperglycemia: correct

6

9.1

Level of PPG to define DM: correct

25

37.9

Level of PPG to define impaired glucose tolerance: correct

18

27.3

Level of random glycemia to define DM: correct

13

19.7

Can Glycated Hemoglobin be used to define diabetes: Yes

58

87.9

Level of Glycated Hemoglobin to define diabetes (N = 58): correct

19

32.8

Level of systolic blood pressure to define hypertension in a patient with DM: correct

23

34.8

Level of diastolic blood pressure to define hypertension in a patient with DM: correct

17

25.8

Frequently asked morphologic and biological exams

  

  Full blood count

31

47.0

  Serum urea

49

74.2

  Creatinemia

55

83.3

  Serum uric acid

24

36.4

  Urinary dip stick

27

40.9

  Total cholesterol

33

50.0

  HDL cholesterol

43

65.2

  Triglycerides

28

42.4

  Natremia

12

18.2

  Kaliemia

19

28.8

  Chloremia

12

18.2

  Calcemia

13

19.7

  Magnesemia

9

13.6

  Chest X ray

7

10.6

  Cardiac echography

5

7.6

  Echocardiogram

18

27.3

  Fundoscopy

18

27.3

Correct (minimal) workup asked

6

9.9

Used to recommend lifestyle modifications: Yes

61

92.4

Used to refer diabetes patients to the nutritionist: Yes

46

69.7

Physical examination during diabetes patients’ consultations: complete

24

36.4

Type of drug usually prescribed in type 2 diabetes mellitus

  

  Generic

14

21.2

  Specialty

9

13.6

  Both

35

53.1

  Missing data

8

12.1

Class of drugs frequently prescribed as first line treatment in type 2 diabetes mellitus management

  

  Biguanides

51

77.3

  Sulfonamides

40

60.6

  Glinids

5

7.6

  Glitazones

3

4.5

  Insulin

1

1.5

  Alpha-glycosidase inhibitors

2

3.0

  DPP-4 inhibitors

1

1.5

Used to prescribe 2 or more anti-diabetic drugs in patients with uncomplicated type 2 diabetes mellitus: Yes

34

51.5

Combinations usually prescribed (N = 34)

  

  Sulfonamide-Biguanide

31

91.2

  Sulfonamide-Glinid

1

2.9

  Sulfonamide-Insulin

3

8.8

  Biguanide-Glinid

3

8.8

  Biguanide-Insulin

1

2.9

  Biguanide-Alpha-glycosidase inhibitors

1

2.9

  Biguanide-DPP-4 inhibitors

1

2.9

Type of drugs usually prescribed in patients presenting with a hyperglycemic emergency

  

  Oral anti-diabetics

7

10.6

  Insulin

57

86.4

  Missing data

2

3.0

Used to manage comorbidities: Yes

6

9.1

Follow-up appointments usually given to diabetes patients: Yes

64

97.0

Frequency of appointments (N = 62)

  

  Every week

15

22.7

  Every two weeks

17

25.8

  Once in a month

32

48.5

Usually seek for information on new guidelines regarding diabetes care: Yes

51

77.3

Source of information (N = 51)

  

  Medical visitor

39

76.5

  Conferences

20

39.2

  Colleague

20

39.2

  Internet

14

27.5

  Scientific journals

9

17.6

Willingness to participate in future workshops on DM: Yes

65

98.5

  1. DM = Diabetes Mellitus; FPG = Fasting Plasma Glucose; PPG = Post-prandial Glycemia.