Author(s): Gadzama AA, Mshelia DS, Nyandaiti Y
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Abstract OBJECTIVES: Deficient action of insulin is associated with derangement of carbohydrate, fat and protein metabolism. Determination of the extent of such derangement in steady state type 2 diabetic patients enhances management planning and prevents diabetic complications. This is necessary in a poor resource setting where functional national health insurance scheme is not available. The study aimed at assessing the level of plasma glucose and lipids, renal function, total calcium, inorganic phosphates and albumin and their relevance in steady state type 2 diabetic patients in north-eastern Nigeria in order to minimize the cost of laboratory investigations while preventing diabetic complications. METHOD: Two hundred and eighteen steady state type 2-diabetic patients were recruited at the Chemical pathology laboratory of the University of Maiduguri Teaching Hospital over a period of one year. Tests requested by the Clinicians for steady state diabetics were collated, the pattern of biochemistry laboratory requests and results were determined. The mean and standard deviation of the results were calculated. RESULTS: Out of the 218 steady state diabetics, only 48 (22.2 \% ) had good short-term glycaemic control (fasting blood glucose < 7mmol/l). No test for long-term glycaemic control was requested during the study period. Lipid profile and protein assessment were carried out in 30\% and 52.3 \% of the patients respectively. Biochemical tests were not optimally utilised and this resulted in poor glycaemic control. CONCLUSION: Proper utilisation of laboratory tests for adequate long-term glycaemic control through team work approach with laboratory physicians are recommended.
This article was published in Niger Postgrad Med J
and referenced in Dentistry