Diabetes in a developing community. Epidemiology and management problems

An epidemiological study of 299 Black patients attending the Ga-Rankuwa Diabetic Clinic was undertaken in order to establish a management baseline and identify specific problem areas. The survey revealed several management problems, such as overweight patients, a low percentage of patients being controlled by diet only, and a high incidence of hypertension. One-third of the patients had not eaten on the morning of the visit, which made the value of urine glucose measurements questionable. In addition, no patient wore any form of 'Medicalert' identification. Considering these factors, a plan of action has been developed. Identification bracelets have been supplied and a system for doing urine glucose tests at home introduced. Greater attention is being given to the diet and the feasibility of Hb A1C measurements is under consideration.