What is it about?

An aging population, lifestyle change, urbanization result in increasing the risk factors and prevalence of diabetes in Sub-saharan countries. Indeed, the overweight population increased from 28 million to 127 million between 1980 and 2015. Although indirect measure suggests its prevalence is increasing, the true burden of diabetes is unclear. This report presented the burden of diabetes in Sub-sahara Africa from the point of view of clinical, economic and health-system perspectives.

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Why is it important?

Once diabetes was seen as a condition that mainly affected rich people in high-income countries. Nowadays, it’s one of the leading contributors to death in all countries in the world, driven by increases in national and personal wealth. Diabetes itself can be treated very cheaply as it only requires medications (usually tablets) to lower glucose. But the long-term consequences, for example, heart attacks, strokes, blindness, and kidney failure, require specialists and specialist equipment to treat. These are very expensive. In other words, its aftermaths affect more in people living in lower-income countries, where health systems are not developed enough. However, in Sub-Saharan Africa, where is home to 34 of the world’s 48 least developed countries, basic information about diabetes have not been gathered.

Perspectives

I went to Tanzania to investigate its current situation of diabetes. Tanzania is a rare country in Sun-Sahara Africa that National Diabetes Program has enough fundings and provides care to 800 000 diabetic patients with free of charge. However, the road in Tanzania is under developing and I saw its reality that distant patients could not receive care because it is simply hard for them to go to the care facility due to insufficient development of transportation.

Dr Tetz Cheng-Che Lee
Columbia University

Read the Original

This page is a summary of: Diabetes in sub-Saharan Africa: from clinical care to health policy, The Lancet Diabetes & Endocrinology, August 2017, Elsevier,
DOI: 10.1016/s2213-8587(17)30181-x.
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