TITLE:
Knowledge, Attitudes and Practices Survey in Management of Type 2 Diabetes by General Practitioners in Dakar
AUTHORS:
Abdoulaye Leye, Nafy Ndiaye, Ngoné Diaba Diack, Michel Assane Ndour, Biram Codou Fall, Yakham Mohamed Leye, Papa Ousseynou Mane
KEYWORDS:
Knowledge, Attitudes, Practices, Diabetes, General Practitioners
JOURNAL NAME:
Journal of Diabetes Mellitus,
Vol.7 No.4,
November
9,
2017
ABSTRACT: Introduction: Considering the global burden of diabetes and lack of specialist in
diabetology in our subsaharian area, general practitioners (GPs) play a major
role as first referent for care of diabetic people. The aim of this work was to
describe knowledge, attitudes and practices of GPs related to management of
type 2 diabetes. Patients and Methods: It was about a transversal and descriptive
survey held between July 14, 2015 and November 1st, 2015 in the medical districts and
public corporations of health of Dakar in Senegal. Results: The
population of study was made of 107 males and 40 females GPs. The majority
(82.8%) was graduated since less than five years. Hygienic and dietetic
measures (HDM) were known and commonly recommended by 77.60% of GPs in their
daily practice. The caloric intakes were known by 21.1%. The 30 min of physical
activity per day three times in the week was advised by 91.20%. Monotherapy
with metformine associated with HDM was prescribed by 76.90%. Bitherapy with metformine
and sulfonylureas associated to HDM were prescribed by 39.50%. Concerning insulin therapy, mixed insulin twice
daily associated with rapid insulin before lunch was prescribed by 49.7%. Use
of rapid acting insulin with three injections before each meal was prescribed
by 36.10%. Treatment of the other cardiovascular risk factors was addressed by
97.30%. Smoking cessation was advised by 37.40%. Use of sweetened drink and
intravenous glucose were most adopted in case of hypoglycemia, and use of glucagon was adopted by
23.10%. To improve the diabetic retinopathy 61.2% of GPs recommended tight
control of other cardiovascular risk factors. Rigorous glycemic control and
regular physical activity were recommended for painful neuropathy beside
analgesics. Smoking cessation was also recommended by 61.90% for that. Against
obstructive arterial disease of the lower extremities, tight control of blood
pressure was recommended by 69.40% Conclusion: It comes out from these
results the need for reinforcing post graduate trainings on diabetes for our
GPs. Moreover, there’s an urgent need to elaborate and disseminate adapted
guidelines and recommendations for improving efficient and standardized
strategies for day to day management of type 2 diabetic people in our country.