ArticleThe American journal of tropical medicine and hygiene2010
A survey of the management, control, and complications of diabetes mellitus in patients attending a diabetes clinic in Blantyre, Malawi, an area of high HIV prevalence.
Article in The American journal of tropical medicine and hygiene, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Indicators of optimal diabetes care and burden of diabetes complications in Africa: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Prevalence of uncontrolled hypertension in people with comorbidities in sub-Saharan Africa: a systematic review and meta-analysis.BMJ open · 2021Pooled it
- Delivery of long-term-injectable agents for TB by lay carers: pragmatic randomised trial.Thorax · 2020Trial
- The effect of HIV infection on glycaemia and renal function in type 2 diabetic patients.PloS one · 2018Trial
- Prevalence and correlates of diabetes mellitus in Malawi: population-based national NCD STEPS survey.BMC endocrine disorders · 2014Trial
- Article
- Perception of patient-centred care and its relationship with management outcomes and complications among patients with DM in Malawi.BMJ open · 2025Article
- 'Operating in the dark': perspectives of health service users and healthcare workers on quality of diabetes care at a public referral hospital in Blantyre, Malawi - a qualitative study.Wellcome open research · 2025Article
- Chronic illness experience in the context of resource-limited settings: a concept analysis.International journal of qualitative studies on health and well-being · 2024Review
- Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region, Ghana.International wound journal · 2022Article
- Decentralising diabetes care from hospitals to primary health care centres in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2021Article
- Global case studies for chronic kidney disease/end-stage kidney disease care.Kidney international supplements · 2020Review
- Article
- Type 2 diabetes complications and comorbidity in Sub-Saharan Africans.EClinicalMedicine · 2019Article
- Self-management and its associated factors among people living with diabetes in Blantyre, Malawi: a cross-sectional study.AAS open research · 2019Article
- Use of an electronic medical record to monitor efficacy of diabetes care in out-patients in a central hospital in Malawi: Patterns of glycaemic control and lessons learned.Malawi medical journal : the journal of Medical Association of Malawi · 2017Observational
- The challenge of diabetic foot care: Review of the literature and experience at Queen Elizabeth Central Hospital in Blantyre, Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2017Review
- Prevalence of and Factors Associated with Nephropathy in Diabetic Patients Attending an Outpatient Clinic in Harare, Zimbabwe.The American journal of tropical medicine and hygiene · 2017Article
- Incidence and progression of diabetic retinopathy in Sub-Saharan Africa: A five year cohort study.PloS one · 2017Article
- Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to describe the current status of diabetes care in an urban diabetes clinic in Malawi and the prevalence of human immunodeficiency virus (HIV) in this population, investigating possible associations between HIV and diabetes. A systematic prospective survey of patients attending the diabetes clinic at a teaching hospital in Blantyre, Malawi was conducted. Six hundred twenty patients were assessed. Seventy-four percent had glycosylated hemoglobin (HbA1C) > 7.5%. Systolic blood pressure was > 140 mm Hg in 52% of patients. Hypertension was more common in patients with raised creatinine (P < 0.003), retinopathy (P = 0.01), and stroke (P < 0.0002). Microvascular complication rates were high, specifically nephropathy (34.7%), retinopathy (34.7%), and neuropathy (46.4%). HIV seroprevalence was 13.7%. HIV-positive subjects had a lower body mass index (BMI) and lower fasting blood sugar, and they were more likely to have albuminuria (48.0% versus 33.3%; P < 0.05). Control of glycemia and hypertension were poor, and microvascular complications were common. Nephropathy in diabetic patients may be affected by HIV status.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.