Epidemiological and Clinical Aspect of Diabetes Mellitus at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes, Mali

Diabetes mellitus is a chronic endocrine disorder characterized by the presence of hyperglycemia due to relative or absolute insulin deficiency. Objective: To describe the epidemiological and clinical aspects of diabetes mellitus in the internal medicine unit of the Fousseyni Daou Hospital in Kayes. Methodology: This was a descriptive and cross-sectional study with retrospective data collection that took place from January 1 to December 31, 2019 at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. It covered all diabetic patients hospitalized or presenting in consultation during the study period. Results: We identified 406 diabetic patients out of 2066 patients admitted to the unit, i.e. a hospital prevalence of 19.65%. Of these 406 diabetics, 105 (25.86%) were hospitalized in our unit. The age group 50 to 59 years was the most represented, 110 cases (27.10%) with an average age of 53.26 +/- 9.69 years, the female sex predominated, 251 cases (61.82%) with a sex ratio of 1.61. The Soninke ethnic group was the most represented, 91 cases (25.65%), housewives represented 192 cases (47.29%). Of 302 patients of known marital status, 207 (68.87%) were married. The majority of patients resided in the city of Kayes 268 (66.01%). The age of discovery of diabetes was more notified between 40 and 49 years (238 patients) or 58.62% with an average age of discovery of 50.75 years. The circumstances of discovery were noted in 323 patients which are among others: Polyuropolydipsia syndrome in 191 cases (59.13%), ophthalmological check-ups in 67 cases (20.74%), pre-operative check-ups 43 cases (13.31%), obesity check-ups 9 cases (2.72%), prenatal check-ups 5 cases (1.54%), acute complications 11 cases (3.40%). Diabetes had been evolving for more than 5 years in 127 patients (31.28%), diabetes of recent discovery 90 cases (22.16%). High blood pressure was the most common medical history in 96 cases (48.97%). The use of hyperglycemic drugs was dominated by the .......