County gender location year ncd indicator source result. However, approximately 100 patients below the age of 20 years are being followed up in nairobi. Kenya is one of the 48 countries of the idf african region. About 25% of the worldwide population suffers from mental, neurological and substance use disorders but unfortunately, up to 75% of affected persons do not have access to the treatment they need. Gestational diabetes mellitus gdm is a major public health problem and threat to maternal and child health in africa. Objective to estimate the prevalence of depression in patients diagnosed with type 2 diabetes mellitus t2dm, and to identify sociodemographic, clinical and psychological factors associated with depression in this population. The objectives of this study were to establish the prevalence and the sociodemographic factors associated with mental and. The overall diabetes prevalence in kenya is consistent with what has. The prevalence of type 2 diabetes among older people in. Prevalence of diabetes, ranking by continent, world health organization.
Diabetes mellitus, among the chronic conditions is on the increase in the society and due to associated complications of which sexual dysfunction is one. Results the prevalence of diabetes for all agegroups worldwide was estimated to be 2. In subsaharan africa, renal complications of diabetes may go unrecognized due to limited diagnostic resources. The global prevalence of noncommunicable diseases ncd dominated by diabetes is increasing with the greatest burden occurring in developing countries, and it is projected that by the year 2020, ncds will surpass communicable diseases as a cause of death 2,3. Prevalence and risk factors for diabetes mellitus among.
A communitybased cross sectional study was carried out from january 01. Prevalence of obesity, hypertension, and diabetes, and. Background in subsaharan africa, diabetes is a growing burden, yet little is known about its prevalence, risk factors, and complications. The global epidemiology of diabetes and kidney disease. Years lived with disability ylds are estimated by weighting the prevalence of different conditions based on severity. To assess the prevalence, awareness, treatment and control of diabetes and to examine the relationship of obesity with raised blood glucose in the slums of nairobi, kenya.
Prevalence of diabetes and related risk factors males. Current disease estimates for subsaharan africa ssa are based on sparse data, but projections indicate increases. Reported type 1 diabetes prevalence was low and ranged from 4 per 100,000 in. In most developed countries, type 2 diabetes is presently the leading cause of endstage renal disease and also contributes substantially to cardiovascular disease. Idf africa members international diabetes federation. Prevalence and factors associated with prediabetes and. Glycemic control in kenyan children and adolescents with.
The number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014 1 the global prevalence of diabetes among adults over 18 years of age has risen from 4. Pastakia1, benson njuguna2, beryl ajwang onyango2, sierra washington3, astrid christoffersendeb4, wycliffe k kosgei5 and ponnusamy saravanan6,7 abstract. This study was conducted at the diabetes mellitus clinic. The total number of people with diabetes is projected to rise from 171 million in 2000 to 366 million in 2030. In kenya the prevalence of diabetes mellitus is rising and has been estimated at 2. Prevalence and correlates of diabetic retinopathy in a populationbased survey of older people in nakuru, kenya article pdf available in ophthalmic epidemiology 2 april 2014 with 373 reads. Increasing prevalence of diabetes mellitus in a developing.
The prevalence of diabetes is increasing worldwide, with the greatest increases occurring in low and middleincome countries. Intensified therapy and maintaining nearnormal blood glucose levels can result in considerable. Therefore, a demographic surveillance site was used to conduct a household survey of adults in the malaria endemic area of maseno division in kisumu county near lake victoria. The prevalence of diabetes mellitus type 2 in african countries ranged from 1% in rural uganda to 12% in urban kenya. Of concern is the higher prevalence of pre diabetes and undiagnosed diabetes that can progress to complications in the absence of interventions and the low diabetes awareness and control. A populationbased survey of prevalence of diabetes and. Diabetes prevalence increased with age in both locations. Experts sound alert over rising cases of diabetes among youth.
Kenya national diabetes educators manual introduction the diabetes education in kenya is an upcoming practice that is little known, and therefore underused. Therefore, the aim of this study was to determine prevalence of hypertension among patients with type 2 diabetes mellitus and its socio demographic factors in nigist ellen mohamed memorial hospital hosanna, southern ethiopia. This has been compounded by a rapid increase in the prevalence of risk factors for diabetes and other chronic noncommunicable diseases. Like evelyne, most people living with diabetes in kenya are diagnosed too late, when preventing complications of the disease is no longer possible. A meeting focused on diabetes guidelines for the management of type 1 diabetes in africa was held in nairobi on 1012 october 2018. We did a comprehensive literature search using an african search filter and extracted and. Methods and findings we conducted a stratified, clusterdesigned, serial crosssectional. Diabetes guidelines for managing type 1 diabetes in africa october 15 2018.
Despite the apparently small numbers of these patients, diabetes is a major health concern because it is a lifelong disease, which uses up substantial financial. The size of the colored portion in each bar represents the number of ylds attributable. Unlike hypertension, the agespecific prevalence of diabetes and impaired fbg diverged between rural and urban populations, in both sexes figure 2, appendix p 6. Methods the authors conducted a comprehensive literature search in medline pubmed, embase, cinahl, web of science, scopus, african journals and grey literature. Noncommunicable diseases ncds are the leading cause of death globally and diabetes mellitus is the 4 th main contributor 1. Global prevalence of diabetes estimates for the year 2000 and projections for 2030 sarah wild, mb bchir, phd 1 gojka roglic,md 2 anders green, md, phd, dr med sci 3 richard sicree, mbbs, mph 4 hilary king md dsc 2 objective the goal of this study was to estimate the prevalence of diabetes and the number of people of all ages with diabetes for years 2000 and 2030. Accurate contemporary data on the burden of chronic kidney disease ckd on the african continent are lacking. Type 2 diabetes is a chronic illness resulting largely from excess body weight and physical inactivity. Of concern is the higher prevalence of prediabetes and undiagnosed diabetes that can progress to complications in the absence of interventions and the low diabetes awareness and control. Kenya has a heavy disease burden with an average life expectancy of 56.
Prevalence of chronic kidney disease in diabetic adult out. Diabetes mellitus dm, which is related to cardiovascular disease, is one of the main global health problems. O box 9042080100, mombasa, kenya 3department of environmental health, kenyatta university, p. Prevalence of gestational diabetes mellitus based on various screening strategies in western kenya. The prevalence of diabetes is higher in men than women, but there are more women with diabetes than men. Review article diabetes mellitus a devastating metabolic. The epidemiology of diabetes in kenya has not been studied to any great extent. A random survey of 1,190 adults living in a demographic health surveillance site in a malaria endemic area of 70,805.
Innovating to increase access to diabetes care in kenya. Kenya national diabetes strategy 20102015 world diabetes. Four of these countries andorra, dominica, the marshall islands, and zimbabwe were excluded, as input data for cost projections were unavailable. To assess the prevalence of diabetes mellitus and its risk factors among individuals aged 15 years and above. Methods we performed a large prospective cohort study of. The overall diabetes prevalence in kenya is consistent with what has been reported in other subsaharan african countries. Screening studies found significant proportions 40% of diabetic cases who were previously undiagnosed 10, 14. Abstract diabetes mellitus is an endocrinological andor metabolic disorder with an increasing global prevalence and incidence. We determined the prevalence of ckd in adult populations living in africa, and variations by stage, gender, estimated glomerular filtration rate egfr equation, and residence.
Prevalence of psychiatric morbidity in a community sample. The prevalence and risk factors for diabetes in ghana vary from location to location, yet no study has been conducted to quantitatively synthesize the available studies. Kenya has recently seen a remarkable rise in diabetes with over 3. Type 2 diabetes accounts for well over 90% of diabetes in subsaharan africa, and population prevalence proportions ranged from 1% in rural uganda to 12% in urban kenya. The national diabetes statistics report pdf icon pdf 768 kb is a periodic publication of the centers for disease control and prevention cdc that provides updated statistics about diabetes in the united states for a scientific audience the report includes information on prevalence and incidence of diabetes, prediabetes, risk factors for complications, acute and longterm complications. For non communicable diseases risk factors 2015 report division of non communicable diseases afya house, cathedral road p.
Prevalence and factors associated with prediabetes and diabetes. The contentious issue however is whether factors associated in literature with quality of life apply to diabetic patients in uganda. Diabetes mellitus dm, commonly referred to as diabetes, is caused when either the pancreas is not producing enough insulin or the cells of the body are not responding properly to. The prevalence of sexual dysfunction among patients with. Perceptions and use of herbal remedies among patients with. The number of adults with diabetes mellitus is increasing worldwide, particularly in asia and africa. To address these gaps and help inform public health efforts aimed at prevention and treatment, we conducted a communitybased study assessing diabetes epidemiology. The prevalence of chronic kidney disease ckd among adult diabetics in subsaharan africa has not been well described. Although several studies have described the prevalence and risk factors for diabetes in different parts of kenya 5, 7, 8 none has quantified the magnitude of this. A populationbased survey of prevalence of diabetes and correlates.
The prevalence of type 1 diabetes in kenyan children and adolescents is totally unknown. Little information is available on the prevalence of diabetes in people aged 55 years or older living on the african continent. The prevalence of malaria parasites in adults in africa is less well researched than in children. Proportional mortality % of total deaths, all ages. Prevalence, risk factors, and complications of diabetes in. In ethiopia, information about this disease is known to be scarce. Pdf prevalence and correlates of diabetic retinopathy in. Data on the magnitude of the mental health problem in kenya is scarce. Prevalence of gestational diabetes mellitus based on. Prevalence and factors associated with prediabetes and diabetes mellitus in kenya. The kenya national diabetes strategy was prepared with the active. According to the diabetes atlas the prevalence of diabetes in rwanda is about 3.
The world health organization who estimates that the prevalence of diabetes in kenya at. Additionally, we examine the annual incidence rate of depression among patients with t2dm. It is characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, action or both 2. Thus, to prevent complications, good control of diabetes is essential and the management of diabetes should therefore aim to improve glycaemic control beyond that required to control its symptoms.
Prevalence of depression in patients with type 2 diabetes. It is believed that an additional seven percent of kenyans have diabetes despite being undiagnosed. Quality of life of diabetic patients is not a new concept in literature. It is estimated that the prevalence of diabetes in the country is about 3.
In countries where there is some awareness, diabetes educators are recognized as important members of the diabetes care team. Dmi, diabetes kenya association, the university of nairobi and kenyatta. Idf has partnered with sanofi, kenya diabetes study group and diabetes kenya to launch a national diabetes management training programme. Early diagnosis of gestational diabetes mellitus gdm is crucial to prevent short term delivery risks and long term effects such as cardiovascular and metabolic diseases in the mother and infant. In some rural parts of the country such as nyeri in central kenya and kilifi in the coast province the prevalence is as high as 11. Pdf prevalence of gestational diabetes mellitus based on. In kenyan adults, the nationally adjusted prevalence of diabetes was estimated to be 3.
A sample of 219 outpatients attending mulago diabetic clinica national referral hospital in ugandais used to provide an understanding of this issue. Prevalence of diabetes mellitus and its risk factors among. Pdf prevalence and factors associated with prediabetes and. Diagnosing gdm in subsaharan africa ssa however, remains suboptimal due to associated logistical and cost barriers for resourceconstrained populations.
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