Patrick Ngassa Piotie

University of Pretoria | UP · School of Health Systems and Public Health

Objective: The aim of this study was to determine the prevalence of micro- or macroalbuminuria in type 1 and type 2 diabetic patients, and to examine the relationship with the diabetes control parameters such as haemoglobin (Hb)A1c, blood pressure (BP) and lipids. Design: This was an analytical cross-sectional study. Setting and subjects: The study...

Over time diabetes affects the amount of insulin a person's body makes. This happens even when people take tablets properly and have excellent control of blood sugars. This is why almost all people who have diabetes have to start taking insulin injections. This guide is a collaborative output of experts to support the initiation of insulin therapy...

Aims To determine factors associated with ‘hypothetical willingness’ to start insulin among people with Type 2 diabetes (T2DM). Methods A quantitative cross-sectional study with insulin-naïve T2DM patients at 23 primary care facilities in the Tshwane Metropolitan Municipality. Data collected included demographic and clinical data, willingness to s...

Background: In South Africa, the Central Chronic Medicine Dispensing and Distribution (CCMDD) programme allows stable patients with non-communicable diseases, including type 2 diabetes mellitus (T2DM), to collect their medication from a pick-up location near their home, thus avoiding long waiting times and travel expenses. The CCMDD programme aims...

Aims To investigate the attitudes and beliefs of primary healthcare practitioners (HCPs) towards initiating insulin therapy for people with type 2 diabetes (T2D) in South Africa. Methods A cross-sectional survey was conducted amongst HCPs from 23 clinics. The nurses’ questionnaire was administered by research nurses while doctors completed an onli...

Background: The Central Chronic Medicines Dispensing and Distribution (CCMDD) programme facilitates clinically stable patients to collect their chronic medication from community-based pick-up points.Aim: We determined baseline glycaemic control and rates and predictors of becoming sub-optimally controlled for type 2 diabetes mellitus (T2DM) CCMDD-e...

Background: In South Africa, initiating and managing insulin in primary care for people living with type 2 diabetes (PLWD) is a major challenge. To address these challenges, a multidisciplinary team from the University of Pretoria (South Africa) developed the Tshwane Insulin project (TIP) intervention. Aim: To determine internal and external facto...

Aims: To assess barriers to insulin therapy among people with type 2 diabetes after adapting the Insulin Treatment Appraisal Scale (ITAS) to the South African context. Methods: A panel of experts reviewed the original ITAS for clarity and relevance to the South African context. The ITAS was administered to 253 adults with type 2 diabetes attendi...

Objectives: A study was undertaken to assess the feasibility and safety of the Tshwane Insulin Project (TIP) intervention, describe patients’ and healthcare professionals’ experiences with the intervention, and determine preliminary treatment effects on glycaemic control. Design: This was a single-group feasibility study. Setting: The study was c...

Background In South Africa, initiating insulin for people with type 2 diabetes and subsequent titration is a major challenge for the resource-constrained healthcare system. Inadequate support systems in primary care, including not being able to access blood glucose monitors and test strips for self-monitoring of blood glucose, results in patients w...

Over time diabetes affects the amount of insulin a person's body makes. This happens even when people take tablets properly and have excellent control of blood sugars. This is why almost all people who have diabetes have to start taking insulin injections. This guide is a collaborative output of experts to support the initiation of insulin therapy...