1887

oa Central African Journal of Medicine - Diabetes mellitus in the African in Rhodesia

Volume 7, Issue 2
  • ISSN : 0008-9176

 

Abstract

(1) A study of the nature of diabetes seen in African patients in Salisbury is presented. The socioeconomic background shows that most patients come from groups who work in the European economy and whose diet has been altered to include more foods containing, in particular, refined sugar and fats. There is also a group composed largely of elderly diabetics whose way of life appears to have been little affected by the introduction of new foods. (2) The clinical types encountered in Rhodesia correspond very closely to that of the European pattern. No variants such as J or K types were found. The African diabetics may require more insulin than the European in order to be stabilised, but this may be due to his lack of understanding of the necessity to follow a strict dietary regime. At the same time, the level of blood sugar was found to be higher than in a European group and this may perhaps be the reason for this difference. (3) Although the insulin requirements of the African appeared to be high, hypo glycaemia coma developed if the requirements were exceeded. (4) The symptoms of diabetes appear to be the same for the African and European, the main features being thirst, polyuria, weakness, loss in weight and pruritus vulvae; but complications showed certain differences, such as the infrequency of pulmonary tuberculosis, gangrene and intercapillary glomerulosclerosis. (5) One atypical case with hyperglycaemia is descriptionbed.

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/content/CAJM/7/2/AJA00089176_5896
1961-02-01
2019-10-18

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