Type 2 Diabetes and Complications at a Diabetes Tertiary Care Center of Libreville - Gabon

Aim: Evaluate diabetes management and its complications at a diabetes tertiary care center. Patients and methods: This was a cross-sectional and descriptive study, conducted from April 2018 to July 2020 at a diabetes tertiary center. Type 2 diabetes patients received during the study period and following all criteria were enrolled. After a clinical exam, venous blood sample were taken for measuring concentrations of lipids, glucose, glycated hemoglobin, creatinine and microalbuminuria. Based on their medical records, we noted treatment modalities and diabetic complications. Results: Of the 609 patients enrolled, 57 % had diabetes that had evolved since less than 5 years. More than half (56 %) of patients were treated with oral antidiabetic drugs. Otherwise, 43.9 % of patients had not achieved the objectives of glycated hemoglobin. LDL cholesterol was high among 38.0 % of our patients and 16.0 % of them were treated with statins. Microalbuminuria was present among 44.8 % of patients and 22.3 % of patient had low estimated glomerular filtration. Systolic blood pressure was high among 43.7 % of patients and 54.0 % of them were treated, especially by enzyme converting inhibitors. Conclusion: Diabetes monitoring and its complications is sub-optimal. This should be improved by the management of drugs and by strengthening educational and nutritional aspects.