Research Article

Treatment Gaps Found in the Management of Type 2 Diabetes at a Community Health Centre in Johannesburg, South Africa

Table 1

Clinical characteristics: patients with T2DM attending the Hillbrow Community Health Centre.

CharacteristicNumber of patients and % of those tested with variable

Age (years)53.9 ± 11.5
Female sex, n (%)280 (53.9)
Ethnicity: Black African, n (%)/other, n (%)515 (99.2)/4 (0.8)
Cardiovascular disease, n (%)2 (0.4)
Stroke/TIA, n (%)1 (0.2)
Retinopathy, n (%)4 (0.8)
Neuropathy, n (%)3 (0.6)
Nephropathy, n (%)1 (0.2)
HbA1c (%)9.1 ± 2.6
Systolic BP (mmHg)138 ± 18.4
Diastolic BP (mmHg)82 ± 10.3
TC (mmol/L)4.2 ± 1
TG (mmol/L)1.5 ± 0.9
LDL-C (mmol/L)2.4 ± 0.9
HDL-C (mmol/L)1.1 ± 0.3
Glycaemic control agents
Diet only, n (%)9 (1.7)
1 oral, no insulin, n (%)115 (22.2)
≥2 oral, no insulin, n (%)140 (27.0)
Insulin only, n (%)47 (9.1)
Combination—insulin with 1 oral, n (%)202 (38.9)
Combination—insulin with ≥2 oral, n (%)6 (1.2)
Biguanides, n (%)450 (86.7)
Sulphonylureas, n (%)159 (30.6)
Antihypertensive agents
Antihypertensive treatment, n (%)459 (88.4)
Monotherapy, n (%)115 (25.1)
Combination therapy (2 classes), n (%)121 (26.4)
Combination therapy (3 classes), n (%)132 (28.8)
Combination therapy (4 classes), n (%)67 (14.6)
Combination therapy (≥5 classes), n (%)24 (5.2)
ACE inhibitors, n (%)403 (87.8)
Lipid-lowering agents
Statin treatment, n (%)133 (25.6)
Other agents
Antiplatelet treatment, n (%)136 (26.2)
Thyroid treatment, n (%)6 (1.2)

BP: blood pressure; HbA1c: glycated haemoglobin; HDL: high-density lipoprotein; LDL: low-density lipoprotein; TC: total cholesterol; TG: triglyceride; TIA: transient ischaemic attack.