Trends in type 1 diabetes diagnosis in Ghana

Int Health. 2022 Jul 1;14(4):442-446. doi: 10.1093/inthealth/ihz096.


Background: Despite the fact that the rate of type 1 diabetes (T1D) is increasing worldwide, there exists a dearth of information on the disease in most sub-Saharan African countries. The goal of this study was to determine the enrolment trend of T1D using data compiled over 28 y from a teaching hospital in Kumasi, Ghana.

Methods: Information collected included sex, age at diagnosis and date of T1D diagnosis. We identified trends from 1992 to 2018, divided into 3 y intervals.

Results: From 1992 to 2018, 1717 individuals with T1D were enrolled in the diabetes clinic at the Komfo Anokye Teaching Hospital. The male:female ratio was 1:1.2. The number of individuals diagnosed with T1D decreased among the 10-19 y age group during the 1992-1994 period, followed by a progressive increase within the same age group during the subsequent period (from 35.4% in 1995-1997 to 63.2% in 2016-2018). There was a decline in the proportion of children 0-9 y of age diagnosed during the study period (from 5.1% in 1992-1994 to 3.6% in 2016-2018).

Conclusions: In our study population, a decreasing trend of T1D enrolments was observed in general while among adolescents an increasing trend was observed.

Keywords: Ghana; Kumasi; diabetes mellitus; enrolments; trends; type 1.

MeSH terms

  • Adolescent
  • Child
  • Diabetes Mellitus, Type 1* / diagnosis
  • Diabetes Mellitus, Type 1* / epidemiology
  • Female
  • Ghana / epidemiology
  • Hospitals, Teaching
  • Humans
  • Male