We have evaluated cardiovascular risk in type 2 diabetic subjects living in Gabon. We conducted a crosssectional study including all type 2 diabetes patients in two medical centres in Libreville, Gabon. After consent, we obtained data on demography, complications, and glycaemic and lipid status. There were 1300 type 2 diabetic patients. Hypertension was present in 35%. Alcohol and tobacco were used by 29% and 11% of patients, respectively. Only 14% practised sport and 50% of patients were not on any particular diet. Neuropathy affected 27%, followed by retinopathy (6%), nephropathy (4%), and large vessel disease (4%). Overweight affected 55%, 53% were hypercholesterolaemic, and 4% hypertriglyceridaemic. Reduction of high-density lipoprotein (HDL) cholesterol was seen in 64% of patients. Mean HbA1c was 9.3%, with 70% having levels over 7.5%. We conclude that the risk factor profile is not optimal in this population. In order to improve the treatment of type 2 diabetic patients, an effort must be made to adopt international guidelines, and educational initiatives must be encouraged.

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