Prevalence of new diabetes and impaired fasting glucose in Kosovo

doctoral thesis

• Author: Linda Carkaxhiu Hyseini
• Mentor: Marija Vrca Botica (mentor)
• Committee member: nije dostupno (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2017-08-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences
• Universal decimal classification (UDC): 61 - Medical sciences

Abstract

Uvod: Probir za secernu bolest tipa 2 u obiteljskoj medicini u zemljama u razvoju ostaje
i dalje izazov. Zbog toga se istrazuje najprakticnija metoda u svakodnevnom radu.
Ciljevi: Istraziti prevalenciju neotkrivene secerne bolesti i ostecene glukoze nataste u
ambulantama obiteljske medicine na Kosovu i testirati najoptimalniji model
oportunistickog probira za otkrivanje ovih pacijenata
Mjesto: Pet ordinacija obiteljske medicine na Kosovu
Metode: Istrazivali smo metodu oportunistickog probira secerne bolesti u ordinaciji
obiteljske medicine. Probirom su obuhvaceni svi pacijenti u dobi 45-70 godina sa
najmanje jednim poznatim cimbenikom rizika koji su iz bilo kojeg razloga posjetili svog
lijecnika.
Rezultati: Probirom je obuhvaceno 1208 pacijenata. Otkrivena su 152(12.6%) pacijenta
sa secernom bolesti te 185(15.3%) sa predijabetesom
Statisticki znacajni rizicni faktori su (p<0.05); prekomjerna tjelesna tezina (77.6%),
hipertenzija (68.1%) I hiperlipidemija. Vecina pacijenata (76.2%) je imala dva faktora
rizika, dok je 36% imalo tri faktora rizika.
Zakljucak: Ova studija je pokazala da je metoda oportunistickog probira prikladna za
implementaciju u ordinacije obiteljske medicine u zemljama u razvoju, poput Kosova.
Otkriven je znacajan broj pacijenata sa secernom bolescu i predijabetesom koji su
takoder imali prekomjernu tjelesnu tezinu, hipertenziju i hiperlipidemiju.

Abstract (croatian)

Background. Screening for type 2 diabetes mellitus in primary care in developing
contries remains a challenge, therefore pragmatic models of opportunistic screening
should be explored.
Objective: To determine the prevalence of new cases of diabetes and impaired fasting
glucose in general practices of Kosovo and investigate the feasibility and performance
of a pragmatic system for identifying patients with these two conditions.
Settings: Five general practices in Kosovo.
Methods: The study utilized an opportunistic screening programme for type 2 diabetes
detectection in primary care. All patients with at least one risk for undiagnosed type 2
diabetes, aged 45-70, who attended to general practices for any reason were
screened. Fasting capillary blood glucose was measured on two independent days.
Additionally, anthropometric measurements were also performed
Results: A total of 1208 patients were screened for type 2 diabetes. There were 152
(12.6%) undiagnosed type 2 diabetes and 185 (15.3%) prediabetes patients
Significant prediction factors (p<0.05) were; overweight (77.6%), hypertension (68.1%)
and hyperlipidemia (38.5%). The majority of patients (76.2%) had two risk factors and
36% had three risk factors
Conclusions: The ‘pragmatic’ opportunistic screening process in this study was
suitable for implementation in transition countries like Kosovo and resulted in detection
of significant number of patients with pre-diabetes and type 2 diabetes who were also
overweight, had hypertension and hyperlipidaemia

• Keywords: medicine
• Keywords (croatian): medicina
• Language: english
• URN:NBN: urn:nbn:hr:105:498476
• Study programme: Title: Biomedicine and Health Sciences; Study programme type: university; Study level: postgraduate; Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstva (doktor/doktorica znanosti, područje biomedicine i zdravstva)
• Type of resource: Text
• Extent: 89 str.
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-05-05 07:56:57