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176 MEDICAL SCIENCES Professor of Chemical Pathology Department of Para-Clinical Sciences Tel 868 620 9708663 6668 Fax 868 663 9737 E-mails chidum.ezenwakasta.uwi.eduezenwakayahoo.com Website httpezenwaka.webs.com PROF. CHIDUM E. EZENWAKA My research interest is diabetes mellitus. My contributions to scientific knowledge in diabetes have largely been documented and disseminated through publications in reputable scientific journals and presentations at learned scientific conferences.These contributions could be summarized under three specific areas Causes of diabetes My laboratory has provided scientific evidence through studies on Nigerian and Trinidadian offspring of diabetic patients that first-degree relatives of persons living with type 2 diabetes have increased risk of developing diabetes in later life. Diabetes prevention We have documented in scientific literature that lifestyle modifica- tion through exercise and dietary counselling in Caribbean offspring of type 2 diabetic patients reduced their risk of develop- ing diabetes over a five-year follow-up period. Prevention of diabetes complications My laboratory has through several research studies identified poor blood glucose control and obesity especially abdominal obesity as two major cardiovascular or metabolic syndrome risk factors amongst diabetic patients in Trinidad and Tobago. We also observed that one of the causes of the reported poor blood glucose control was poor local dietary education or prescription. Diabetes Self-management Education DSME My laboratory has shown that self-monitoring of blood glucose in type-2 diabetic patients significantly improved their blood glucose control and coronary heart disease risk profile which suggests that type-2 diabetic patients will potentially benefit from inclusion of glucose meters and test-strips in their health-care package. Our survey studies have shown that the majority of diabetes patients believe that self-monitoring of blood glucose is beneficial in the management of their diabetes. We subsequently conducted a survey of the opinion of nurses and dietitians regarding diabetes self-management education in Trinidad and Tobago. Although the nurses and dietitians agreed that diabetes self-management education assists to reduce diabetes complications they identified inadequate healthcare personnel economic resources and educational facilities as significant barriers in the Caribbean population. In an effort to address the findings of our survey my research group collaborated with The UWI School of Nursing in 2014 in organizing a workshop that trained nurse practitioners on diabe- tes self-management education. Selected Publications EzenwakaC.E.O.OkoyeC.EsonwuneP.OnuohaC.DiokaC.Osuji C. Oguejiofor and C. Meludu. High prevalence of abdominal obesity increases the risk of the metabolic syndrome in Nigerian type 2 diabetes patients using the IDF world-wide definition. Metabolic Syndrome Related Disorders2014125277-282. EzenwakaC.E.O.OkoyeC.EsonwuneC.DiokaP.OnuohaC.Osuji C. Oguejiofor and C. Meludu. Is diabetes patients knowledge of laboratory tests for monitoring blood glucose levels associated with better glycaemic control Archives of Physiology Biochemis- try 20141202086-90 DOI10.310913813455.2014.8841402014. EzenwakaC.P.OnuohaD.Sandy and D.Isreal-Richardson.Diabetes self-management education in a high-income developing country survey of the opinion of nurses and dietitians. In. J. Diabetes Dev. Countries published online 20 December 2013 DOI 10.1007s13410-013-0174-72013S Hospital patient having blood pressure tested