Dépistage du diabète de type 2 et de ses complications en Afrique sub-saharienne : la place potentielle de Sudoscan

The study was conducted in 221 subjects known to be diabetics. The investigation of these patients included the responses to a questionnaire, collection of a capillary blood glucose and HbA1c, and a SUDOSCAN measure. In this population aged 58±11 years, consisting mostly of women (68 %), BMI was 28.2±5.1 kg/m2, HbA1c 7.9±2.3 % and capillary blood glucose 1.6±1.1 g / L. The conductances of the feet of patients with HbA1c or a blood glucose above the median (7.2 % and 1.21 g/L, respectively) were significantly lower than those of patients with HbA1c or blood glucose below the median (70±17 vs. 74±13 μS [P =0.03], and 70±17 vs. 74±13 μS [P =0.04]). All patients found SUDOSCAN examination acceptable and would recommend it to a friend. These very preliminary results indicate that SUDOSCAN could be used in Africa for the detection of diabetic patients and microvascular complications as it has already been demonstrated on other continents.