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Estimating the prevalence, hospitalisation and mortality from type 2 diabetes mellitus in Nigeria: a systematic review and meta-analysis.

BMJ Open · 2017 · PMC5566593 · PMID 28495817

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an increasing trendno p-value reported
However, our 2015 prevalence may further indicate an increasing trend in the prevalence of diabetes in Nigeria with over 440% increase in T2DM cases over the 1990 estimate.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.