Diabetes treatment > Access and supply


The Border Health Strategic Initiative: addressing health disparities in border communities

Approximately 13 million people reside in the 80 Mexican municipalities and 48 US counties located along the US-Mexico border; 86% of those people live in 14 pairs of sister cities – metropolitan areas divided by the frontier. Border residents share similar resources and environmental problems. Issues of great concern include air quality, the availability and quality of water, and animal control. The communities along the border are economically and socially interdependent, with more than a million legal north- and southbound crossings every day.

Improvements in care for people with diabetes in Mozambique

An article in this magazine in March 2004 described the Rapid Assessment Protocol for Insulin Access in Mozambique, and some of the results from its implementation. Since it was carried out in 2003, much has changed in Mozambique with regards to access to insulin and diabetes care. The Protocol provided vital information on the areas that the healthcare system needed to focus upon in order to improve care.

Improving care and prevention for people with diabetes in Algeria

Like many other developing countries, Algeria is undergoing a transition in its disease  profile. The emergence of non-communicable diseases, including obesity-driven type 2

"Hello, diabetes." Preventing DKA in children with a telephone hotline service

If a child with diabetes develops ketoacidosis, it is absolutely critical that his or her parents are able to contact a trained healthcare provider immediately, 24 hours a day. Many parents report particular difficulties finding an experienced paediatrician to manage this emergency at night, and during week-ends and holidays. It has been demonstrated that these difficult situations can be overcome effectively using widely available telephone technology.

Know the warning signs of diabetes in children - World Diabetes Day 2008

The World Diabetes Day campaign is led by the International Diabetes Federation and its member associations. It is a multiple-stakeholder partnership that includes diabetes organizations and their members around the world and Official World Diabetes Day Partners. Each campaign is centred on a theme that is established by the IDF Executive Board and approved by the World Health Organization. This year sees the second half of a 24-month campaign focussing on diabetes in children and adolescents. The main campaign slogan is ‘Know the warning signs’.

Diabetes and HIV/AIDS in sub-Saharan Africa: the need for sustainable healthcare systems

Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, are by far the leading cause of mortality worldwide, representing 60% of all deaths. Contrary to common perception, 80% of chronic disease deaths occur in low- and middle-income countries. This invisible epidemic is an underestimated cause of poverty and hinders the economic development of many countries. Sub-Saharan Africa carries the highest burden of disease in the world, the bulk of which still consists of the communicable diseases HIV/AIDS, tuberculosis and malaria.

TIDES: meeting diabetes needs in times of crisis

It is estimated that over 3 million deaths each year are directly related to diabetes. Of greatest concern is that diabetes prevalence appears to be highest in the low- and middle-income countries. Managing diabetes, a complex task in ideal circumstances, can be made extremely difficult in emergency situations. Millions of people around the world live under constant threat from armed conflict or natural disasters, such as floods, hurricanes and earthquakes. The difficulties faced by poor and underserved people in accessing diabetes care are exacerbated in times of catastrophe.

Advocating for the rights of people with diabetes in Kyrgyzstan

Kyrgyzstan is a landlocked, largely mountainous country, bordering Kazakhstan, China, Tajikistan and Uzbekistan, and is therefore sometimes referred to as ‘the Switzerland of Central Asia’. But the dramatic beauty of its snow-capped mountains and Alpine gorges hides a terrible potential for destruction: heavy winter snow often leads to spring floods, provoking serious damage in valleys and lowlands.

The Jaipur Foot: an effective low-cost prosthesis for people with diabetes

In people with diabetes, optimal management of their condition, regular examinations, the use of adequate footwear, and education are the best strategies to prevent diabetes-related foot problems, such as ulceration. If foot problems cannot be prevented, these should be treated as early as possible. However, in many cases, some degree of amputation of lower limbs cannot be avoided. In people who undergo a major amputation, artificial limbs are required to enable them to continue normal daily life.

Access to care and information

Editorial of the Editor-in-chief