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Assah F.K.,Health of Populations in Transition Research Group | Atanga E.N.,Health of Populations in Transition Research Group | Enoru S.,Health of Populations in Transition Research Group | Sobngwi E.,University of Yaounde I | And 2 more authors.
Diabetic Medicine | Year: 2015

Aims To examine the effectiveness of a community-based multilevel peer support intervention in addition to usual diabetes care on improving glycaemic levels, blood pressure and lipids in patients with Type 2 diabetes in Yaoundé, Cameroon. Methods A total of 96 subjects with poorly controlled Type 2 diabetes (intervention group) and 96 age- and sexmatched controls were recruited and followed up over 6 months. The intervention subjects underwent a peer support intervention through peer-led group meetings, personal encounters and telephone calls. Both intervention subjects and controls continued their usual clinical care. HbA1c, blood pressure, blood lipids and self-care behaviours were measured at 0 and 6 months. Results There was significant reduction in HbA1c in the intervention group [-33 mmol/mol (-3.0%)] compared with controls [-14 mmol/mol (-1.3%)]; P < 0.001. Peer support also led to significant reductions in fasting blood sugar (-0.83 g/l P < 0.001), cholesterol (-0.54 g/l P < 0.001), HDL (-0.09 g/l, P < 0.001), BMI (-2.71 kg/m2 P < 0.001) and diastolic pressure (-6.77 mmHg, P < 0.001) over the 6-month period. Also, diabetes self-care behaviours in the intervention group improved significantly over the 6 months of peer support. Conclusion Community-based peer support, in addition to usual care, significantly improved metabolic control in patients with uncontrolled Type 2 diabetes in Yaoundé, Cameroon. This could provide a model for optimizing diabetes care and control in other settings with limited healthcare and financial resources. © 2015 The Authors. Diabetic Medicine © 2015 Diabetes UK. Source


Fezeu L.,Health of Populations in Transition Research Group | Fezeu L.,French Institute of Health and Medical Research | Fointama E.,Health of Populations in Transition Research Group | Ngufor G.,Health of Populations in Transition Research Group | And 2 more authors.
Diabetes Research and Clinical Practice | Year: 2010

Background: A good knowledge about diabetes could lead to early diagnosis and improved management. Objective: To evaluate the level of diabetes awareness in Cameroonians, and to identify factors that influence this awareness. Methods: In subjects aged ≥25 years (n= 1000, 93.4% of response), details regarding risk factors, symptoms, treatment and complications of type 2 diabetes were collected. One mark was attributed to each true answer and a global diabetes awareness score was computed. Influence of age, gender, educational level, occupational level, notion of a relative having a chronic condition and presence of chronic disease were analyzed. Results: Eighty percent of subjects scored more than the total mean score. The highest score obtained by participants (0.10%) was 28/30. The mean total score was higher in men (p< 0.02) and in subjects with a relative having a chronic condition (p< 0.001). In multivariate analyses, age classes (p< 0.01), educational level (p< 0.001) and relatives with a chronic condition (p< 0.001) were associated to the global diabetes awareness score. Conclusions: Diabetes awareness was generally good. This may be due to the fact that the study was conducted in an area where health promotion and health education on diabetes have been intensively delivered for the past 4 years. © 2010. Source

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