ArticleAfrican journal of primary health care & family medicine2020
Lifestyle advice, processes of care and glycaemic control amongst patients with type 2 diabetes in a South African primary care facility.
Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Predictor factors of uncontrolled diabetes.BMC endocrine disorders · 2025Pooled it
- Implementation and translation of evidence-based dietary strategies for type 2 diabetes in resource-limited settings: a scoping review based on the CFIR framework.Frontiers in public health · 2026Article
- Barriers to effective management of type 2 diabetes mellitus in primary healthcare facilities.Journal of public health in Africa · 2025Article
- Healthcare workers' views on type 2 diabetes mellitus management at selected clinics in Mthatha.African journal of primary health care & family medicine · 2024Article
- Self-management challenges of adults with type 2 diabetes mellitus in Ekurhuleni district primary health care facilities amid COVID-19 lockdown.African journal of primary health care & family medicine · 2024Article
- Regional prevalence of hypertension among people diagnosed with diabetes in Africa, a systematic review and meta-analysis.PLOS global public health · 2023Article
- Glycaemic control among type 2 diabetes patients in sub-Saharan Africa from 2012 to 2022: a systematic review and meta-analysis.Diabetology & metabolic syndrome · 2022Article
- A retrospective database study of the demographic features and glycemic control of patients with type 2 diabetes in Kinshasa, Democratic Republic of the Congo.BMC medicine · 2022Article
- Prevalence of overweight and obesity amongst patients with diabetes and their non-diabetic family members in Senwabarwana, Limpopo province, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Prevalence of disease complications and risk factor monitoring amongst diabetes and hypertension patients attending chronic disease management programmes in a South African Township.African journal of primary health care & family medicine · 2021Article
- Contextualizing Evidence for Action on Diabetes in Low-Resource Settings-Project CEAD Part-II, Strengthening the Health System: A Mixed-Methods Study Protocol.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe influence of processes of diabetes care on glycaemic control is understudied in primary health care (PHC).
aimTo explore the influence of lifestyle advice, drug regimen and other processes of care on glycaemic control.
settingJohan Heyns Community Health Centre, Vanderbijlpark, South Africa.
methodsIn a cross-sectional study involving 200 participants with type-2 diabetes, we collected information on sociodemography, comorbidity, processes of diabetes care, drug regimen and receipt of lifestyle advice. Anthropometric measures and glycosylated haemoglobin (HbA1c) were also determined.
resultsParticipants' mean age was 57.8 years and most were black people (88%), females (63%), overweight or obese (94.5%), had diabetes for 10 years (67.9%) and hypertension as comorbidity (98%). Most participants received lifestyle advice on one of diet, exercise and weight control (67%) and had their blood pressure (BP) checked (93%) in the preceding 12 months. However, 2% had any of HbA1c, weight, waist circumference or body mass index checked. Glycaemic control (HbA1c 7%) was achieved in only 24.5% of participants. Exclusive insulin or oral drug was prescribed in 5% and 62% of participants, respectively. Compared to insulin monotherapy, participants on combined metformin and insulin or metformin, sulphonylurea and insulin were less likely to have glycaemic control. Comorbid congestive cardiac failure (CCF) significantly increased the likelihood of glycaemic control.
conclusionThere is substantial shortcomings in the implementation of key processes of diabetes care and glycaemic control. Strategies are needed to prompt and compel healthcare providers to implement evidence-based diabetes guidelines during clinic visits in South African PHC.
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