PS-P14-10: CHALLENGES TO HYPERTENSION AND DIABETES DETECTION AND MANAGEMENT IN URBAN AREA OF DUBREKA, GUINEA

Background: Hypertension (HTN) and Diabetes mellitus (DT2) are frequently underdiagnosed in Africa. The present study was carried out to assess the situation in the urban commune of Dubreka. Methods: Prospective and transversal, the study was focused on 287 participants (174 females; 113 males). HTN...

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Bibliographic Details
Published in:	Journal of hypertension Vol. 41; no. Suppl 1; p. e501
Main Authors:	Bah, Fatoumata, Balde, Alpha Oumar, Traore, Mohamed Sahar, Dioubate, Djessona, Keita, Tenin Oulen, Sylla, Ibrahima Kalil, Diane, Sere, Barry, Rayhanatou, Balde, Elhadj Saidou, Balde, Aliou Mamadou
Format:	Journal Article
Language:	English
Published:	01-01-2023
Online Access:	Get full text
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Summary:	Background: Hypertension (HTN) and Diabetes mellitus (DT2) are frequently underdiagnosed in Africa. The present study was carried out to assess the situation in the urban commune of Dubreka. Methods: Prospective and transversal, the study was focused on 287 participants (174 females; 113 males). HTN and DT2 were defined according to the blood pressure standards of at least 140/90 mm Hg and glycemia at least 1.26 g /l, respectively [1,2]. Results: Overall rate was 74% (211/287) for HTN and 37% (105/287) for DT2. Both sex were concerned: 75% HTN and 36% DT2 in females vs 71% HTN and 38% DT2 in males. Salty diet and sedentary lifestyle were common. In females, 39% were overweight and 34% were obese. The association HTN and DT2 have been noted in 46% (96/211) among the hypertensive and 91% (96/105) among the diabetics. Of the 96 diabetic hypertensives, 45% were overweight (43/96), and 27% (26/96) were obese. In hypertensive, 85% (179/211) were aware of their status and 7% (13/179) were undergoing treatment without any control. In diabetics, 22% (23/105) were aware of their diagnosis with 30% (7/23) on treatment without any control. Conventional treatment of the few patients has generally focused on generic metformin and glibenclamide for diabetes and nifedipine for hypertension which in health centers cost from 15,000 GNF to 25,000 GNF (3,45$ to 5,75$). Such financial inaccessibility to conventional medicine partly justifies the frequent use of medicinal plants either alone or in association with conventional medicines. Conclusion: Hypertension and diabetes remain a concern in Dubréka where low rates of awareness, treatment and control were noticed. REFERENCES 1. 2018 ESC/ESH Guidelines for the management of arterial hypertension: J Hypertens. 2018 Oct;36(10):1953–2041. 2. [2019] ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD. European Heart Journal (2020) 41, 255–323.
ISSN:	0263-6352 1473-5598
DOI:	10.1097/01.hjh.0000918040.17188.cf