College of Health Sciences
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Item Diabetic Cheiroathropathy. A Musculoskeletal Complication of Diabetes Mellitus(Nile University of Nigeria, 2025-01-02) Onyegbutulem Chijioke HenryDiabetic Cheiroarthropathy, DCA, is a recognized long-term musculoskeletal complication seen in people living with diabetes mellitus (DM). It is characterized by limitation of mobility in the small joints of the hands and feet with possible disability. Globally, approximately 33% of people living with DM have been observed to have DCA with evidence of association with microvascular complications. This association makes it pertinent to screen for microvascular complications in DCA patients. Modalities of treatment include controlling glycaemic control to target, aminoguanidine, (a promising compound that prevents advanced glycation end products ( AGEP) formation, physiotherapy, and the intraarticular injection of steroids as the case may be. This paper is aimed at sensitizing clinicians on this almost forgotten clinical condition that may affect the quality of life as well as act as a physical marker of microangiopathy in DM patients.Item Determinants and Prevalence of Type 2 Diabetes Mellitus in Abuja, North Central Nigeria(Nile University of Nigeria, 2025-01-02) Onyegbutulem Chijioke Henry; Muhammadu Mai Aminu; Henry-Onyegbutulem, P.I.; Usman, F.A.; Ugeh, U.I.; Dalhatu, H.H.Background: The surge in the global prevalence of diabetes Mellitus is driven by modifiable factors such as obesity, a sedentary lifestyle, and poor dietary habits. Non-modifiable factors include family history and advancing age. Epidemiologic transition which encourages an atherogenic diet helps to drive this trend. The surge, even though a global phenomenon, may continue mostly in low-income countries, Nigeria included. This study examined the current prevalence of diabetes and drivers in Abuja, the Nigerian capital city. Methods: Leveraging the World Diabetes Day exercises for the years 2018, 2022, and 2023, consenting participants were recruited from three locations, mainly suburbs, across the city for this cross-sectional study. A structured questionnaire adapted from the WHO STEPS tool was used. Results: 385 participants with a mean age of 48.7 + 12.18 years were involved. The prevalence of diabetes mellitus was 5.2%. Determinants were poor dietary habits (p<0.05) and the use of beta-blockers and thiazide diuretics (p<0.05) as antihypertensive agents. Conclusions: Diabetes prevalence was 5.2% with driving factors such as poor dietary habits, the use of beta-blockers, and thiazide diuretics as antihypertensive drugs being prominent. Appropriate dietary counseling and proper selection of antihypertensives may help prevent diabetes mellitus in Abuja.