Development of diabetes register in low-mid income country VII: summary of series

Ezekiel U. Nwose, Eunice O. Igumbor, Otovwe Agofure, Phillip T. Bwititi, Echinei J. Oshionwu, Alex Odufu, John N. Okuzo


Background: This is a summarizing discussion of the series. Six pieces of articles have been presented including two pilot studies and survey of the perception of healthcare professionals. The other four presented case observations from the different levels of health facilities.

Methods: In this summary, a comparison between the four grades of facilities is presented with focus on completeness of patients’ contact details and clinical information regarding basic anthropometric data that can be easily collected anywhere.

Results: It shows evidence that capacity and scope of diabetes services are in tandem i.e., least at the primary level and most at the tertiary facility. It also shows albeit anecdotal that the private general practices may be doing best in what they have capacity to do.

Conclusions: The capacity for diabetes service in all tiers of the healthcare system. The need to advocate for diabetes register as a means to improve quality of service is highlighted.



Blood pressure, Body mass index, Diabetes register, Medical records, Patient follow-up

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Nwose EU, Jelinek HF, Richards RS, Kerr PG. Erythrocyte oxidative stress in clinical management of diabetes and its cardiovascular complication. Br J Biomed Sci. 2007;64:35-43.

Nwose EU, Richards RS, Cann NG, Butkowski E. Cardiovascular risk assessment in prediabetes: A hypothesis. Med Hypotheses. 2009;72:271-5.

Nwose EU, Jelinek HF, Richards RS, Kerr PG. The 'vitamin E regeneration system' (VERS) and an algorithm to justify antioxidant supplementation in diabetes--a hypothesis. Med Hypotheses. 2008;70:1002-8.

Nwose EU, Richards RS, Digban K, Bwititi PT, Ennis G, Yee KC, et al. Cardiovascular risk assessment in prediabetes and undiagnosed diabetes mellitus study: International collaboration research overview. North Am J Med Sci. 2013;5:625-30.

Oguoma VM, Nwose EU, Bwititi PT. Cardiovascular disease risk prevention: preliminary survey of baseline knowledge, attitude and practices of a Nigerian rural community. North Am J Med Sci. 2014;6:466-71.

Nwose EU, Richards RS, Bwititi PT, Igumbor EO, Oshionwu EJ, Okolie K, et al. Prediabetes and cardiovascular complications study (PACCS): international collaboration 4 years' summary and future direction. BMC Res Notes. 2017;10:730.

Khan L, Mincemoyer S, Gabbay RA. Diabetes registries: where we are and where are we headed?. Diabetes Technol Ther. 2009;11:255-62.

Borror K, Carome M, McNeilly P, Weil C. A review of OHRP compliance oversight letters. IRB. 2003;25:1-4.

Taylor HA. Moving beyond compliance: measuring ethical quality to enhance the oversight of human subjects research. IRB. 2007;29:9-14.

Keller DL. Ethics of commercial screening tests. Ann Intern Med. 2013;158:499-500.

Wallace EA, Schumann JH, Weinberger SE. Ethics of commercial screening tests. Ann Intern Med. 2012;157:747-8.

Wallace EA, Schumann JH, Weinberger SE. Hospital relationships with direct-to-consumer screening companies. JAMA. 2014;312:891-92.

Wallace EA, Schumann JH, Weinberger SE. Direct-to-consumer screening companies--reply. JAMA. 2015;313:202-3.

Bramante CT, Song J. Follow-up after a health fair. The virtual mentor: VM. 2012;14:422-5.

Squiers JJ, Purmal C, Silver M, Gimpel N. Community health fair with follow-up. Med Educ. 2015;49:526-7.

Nwose EU. Implementing an electronic medical record system - success, failures, lessons. Aust J Med Sci. 2008;29:21.

Levy S. Implementing an electronic medical record system: successes, failures, lessons. Available at:,_failures,_lessons 2011. Accessed 12th March 2019.

Boyle DIR, Versace VL, Dunbar JA, Scheil W, Janus E, Oats JJN, et al. Results of the first recorded evaluation of a national gestational diabetes mellitus register: Challenges in screening, registration, and follow-up for diabetes risk. PloS One. 2018;13:e0200832.

Stellefson M, Chaney B, Barry AE, Chavarria E, Tennant B, Walsh-Childers K, et al. Web 2.0 chronic disease self-management for older adults: a systematic review. J Med Internet Res. 2013;15:35.

Ghannadi S, Amouzegar A, Amiri P, et al. Evaluating the effect of knowledge, attitude, and practice on self-management in type 2 diabetic patients on dialysis. J Diabetes Res. 2016;2016:3730875.

Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Clin Diab. 2016;34:70-80.

Hollis M, Glaister K and Lapsley JA. Do practice nurses have the knowledge to provide diabetes self-management education?. Contemp Nurse. 2014;46:234-41.

Pierce M, Agarwal G, Ridout D. A survey of diabetes care in general practice in England and Wales. Br J Gen Pract. 2000;50:542-5.

Cook JA. Using a diabetes register to improve care and outcomes. Collaborative support Programs of New Jersey Wellness Symposium: Diabetes preventtion and wellness self-management. Edison, NJ; 2012.

Brinks R, Hoyer A, Landwehr S. Surveillance of the Incidence of Non-Communicable Diseases (NCDs) with Sparse Resources: A Simulation Study Using Data from a National Diabetes Registry, Denmark, 1995-2004. PLoS One. 2016;11:e0152046.

Health Service Executive. Setting up a diabetes register using GP practice management system. Available at: living/diabetes/Diabetesregister.html. Accessed 01 October 2019.