Lancet. 2006 Nov 11;368(9548):1689-95.

Diabetes care in sub-Saharan Africa.

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International Insulin Foundation, International Health and Medical Education Centre, University College London, London N19 5LW, UK. david.beran@access2insulin.org

Abstract

The increasing numbers of people with type 2 diabetes is a worldwide concern. It presents an added challenge in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. A scarcity of financial resources and appropriate staff mean that many people with type 2 diabetes have complications and that those with type 1 diabetes have an extremely short life-expectancy, whether or not they have been diagnosed with the disorder. We review the current evidence on diabetes care in sub-Saharan Africa and propose an 11-point action plan to address this problem in the region.

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