ArticleBMC family practice2020
Diabetes care knowledge and practice among primary care physicians in Southeast Nigeria: a cross-sectional study.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Diabetic foot self-care practices and its predictors among diabetes mellitus patients in Ethiopia: systematic review and meta-analysis.BMJ open · 2025Pooled it
- Type 2 diabetes care: knowledge and clinical practice among medical practitioners at Medical Teaching Institute Mardan, Pakistan - a cross-sectional study.BMC primary care · 2026Article
- Glycemic control and association with diabetes-related distress, self-management behavior, financial toxicity, and cost-related non-adherence: a mixed-methods study.Frontiers in endocrinology · 2026Article
- Understanding the role and organization of health workers delivering non-communicable disease management in primary care in low- and middle-income countries: a scoping review.BMC primary care · 2025Article
- Barriers Affecting Diabetic Foot Care in Primary Healthcare Settings in Al-Ahsa, Saudi Arabia.Cureus · 2025Article
- Knowledge, attitude, and practice (KAP) of primary health physicians towards glucose self-monitoring in patients with type2 diabetes mellitus in Palestine.BMC primary care · 2025Article
- Barriers and facilitators of primary care management of type II diabetes mellitus in the West African sub-region: A scoping review.PLOS global public health · 2025Article
- Edible mushroom (Anatomy & cell biology · 2024Article
- Diabetes knowledge, attitudes and practices among Chinese primary care physicians: a cross-sectional study.BMC primary care · 2024Article
- Insights Into Sociodemographic Influences on Type 2 Diabetes Care and Opportunities for Digital Health Promotion in Port Harcourt, Nigeria: Quantitative Study.JMIR diabetes · 2024Article
- Article
- Evaluation of the knowledge and practice of family physicians in the management of diabetes mellitus type 2 in Iran.BMC primary care · 2023Article
- Nigerian Health Care Providers and Diabetes Self-Management Support: Their Perspectives and Practices.Qualitative health research · 2023Article
- Reversal of mitochondrial permeability transition pore and pancreas degeneration by chloroform fraction ofFrontiers in pharmacology · 2023Article
- Appropriate use of plasma glucose tests for diagnosis of diabetes mellitus in Ibadan, Nigeria.African journal of laboratory medicine · 2022Article
- Article
- Barriers to Diabetes Patients' Self-Care Practices in Eastern Ethiopia: A Qualitative Study from the Health Care Providers Perspective.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021Article
- An Interpretive Description of Sociocultural Influences on Diabetes Self-Management Support in Nigeria.Global qualitative nursing researchArticle
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to the perennial shortage of diabetes specialists, primary care physicians (PCPs) constitute the largest diabetes care manpower in Nigeria. However, the competence of the PCPs to undertake this task is not known. This study was aimed at evaluating diabetes care knowledge and practice among PCPs in Southeastern part of Nigeria.
methodsThis was a cross-sectional study among PCPs in Southeastern Nigeria. Diabetes care knowledge and practices were evaluated using a structured self administered questionnaire.
resultsA total of 64 PCPs with mean duration of practice of 17.3 ± 11.6 years completed the study. 65.6% were in private practice and 50% attended to between 11 and 20 persons living with diabetes (PLWD) weekly. Majority (78.1%) had not participated in any diabetes training since graduation from medical school and 79.9% were not aware of any diabetes clinical practice guideline. The PCPs had adequate knowledge of classical symptoms of diabetes. However, they had very poor knowledge of glycemic thresholds for diagnosis of diabetes which was 26.6, 45.3 and 10.9% for fasting blood glucose (FBG), random blood glucose (RBG) and glycated hemoglobin (A1c) respectively. We observed serious gaps in diabetes care practice such that only 18.8% of the respondents performed foot examination on newly diagnosed PLWD while 28.1 and 39.1% provided counseling on foot care and hypoglycemia respectively. Annual comprehensive foot examination was conducted by only 12.5%, none of the physicians ever screened for microalbuminuria and only 21.9% conducted annual dilated eye examination. Majority (57.8%) rated their confidence in prescribing insulin as "low" and only 23.4% had ever prescribed outpatient insulin for type 2 diabetes in their practice. Glycemic monitoring was largely limited to FBG and only 17.2% monitored A1c. Duration of practice more than 10 years (OR 10.1; P 0.034) and non participation in diabetes training (OR 6.5; P 0.027) were significant predictors of poor diabetes care knowledge.
conclusionDiabetes care knowledge and practice were poor among PCPs in Southeast Nigeria. There is an urgent need to improve their capacity to provide diabetes care through periodic training.
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