Diabetes treatment > Access and supply

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Addressing inequalities in access through long-term collaboration

Diabetes is a life-long chronic condition. Herein lies one of the major challenges to addressing global inequalities in diabetes care. The costs of insulin and monitoring are often beyond the resources of people with diabetes or their country’s healthcare system. While it is easier to secure temporary price reductions or short-term financial support in the form of donations or grants than it is to find long-term ongoing support, diabetes needs in most countries are not temporary.

Eli Lilly - our vision: support for all people with diabetes


Diabetes monitoring in developing countries

The latest statistics suggest that in the future the majority of people with diabetes will live in developing countries. There are an estimated 35 million people living with diabetes in India, for example, and it is estimated that this number will rise to more than 73 million by 2025. Sadly, it follows that the majority of people with diabetes complications will come from countries whose health systems are not able to deliver quality diabetes care.

Novo Nordisk: changing diabetes care in the developing world


Global access to and availability of insulin

The first practical use of insulin by Banting and Best in 1921 heralded a medical revolution. Overnight, type 1 diabetes went from being a uniformly fatal disease to a manageable disorder. Thousands of people around the world have received awards for surviving 50 years on insulin – some reaching 80 years. Insulin is classified by WHO as an essential drug. Yet, 85 years after its discovery, untold thousands of people with type 1 diabetes and type 2 diabetes in developing countries die each year because they can neither readily access nor afford insulin.

Keeping insulin cool naturally - the DREAM Trust storage system

DREAM Trust is a non-government organization and registered charity in Nagpur, central India. In this region and indeed throughout the Indian sub-continent and the developing world, covering the medication needs of a child with diabetes requires many families to commit a quarter of their monthly income. The principal objective of DREAM Trust is to respond to these needs by providing insulin, accessories and healthcare free of charge to poor children with type 1 diabetes.

Aftermath of a disaster: an eye-witness account from Sri Lanka

At 7.59 am local time on 26 December 2004, a mighty earthquake rocked the floor of the Indian Ocean just northwest of Sumatra, triggering a series of large and powerful tsunamis that killed nearly a quarter of a million people – 168 000 in Indonesia alone. The tsunami decimated towns and cities from Indonesia, Thailand and the north-western coast of Malaysia to Bangladesh, India, Sri Lanka and the Maldives, thousands of kilometres away, and as far as Somalia, Kenya and Tanzania in East Africa.

Lack of access to diabetes care in the USA

I am a forty-seven year old white male living in Ypsilanti, Michigan, USA. For most of my life, I have lived in either southeast Michigan or northwest Ohio. I hold a Masters Degree and Bachelors Degree in Geology. For the last 17 years I have been employed in some form or another in the environmental resources divisions of major US car manufacturers. But neither my studies nor my employment record prepared me for the difficulties I have faced and the adversity I continue to endure in attempting to manage my diabetes.

Protecting our children worldwide: the first UN-observed World Diabetes Day

Diabetes is finally emerging from the shadows thanks largely to the recent adoption by the UN General Assembly of a landmark Resolution on diabetes. This Resolution, which recognizes the severity of diabetes and encourages Member States to develop national policies for the prevention, treatment and care of diabetes, is closely linked to the UN Millennium Development Goals. One of the UN’s targets for 2015, Millennium Goal number 4, is to reduce child mortality worldwide.

Cape Town 2006: a global event with a focus on Africa and the developing world

When IDF brings together the global diabetes community at a World Diabetes Congress, it does so with a number of key objectives, which include raising overall diabetes awareness, sharing innovative ideas and best practices, and helping to build and consolidate networks – in line with the Federation’s mission to promote care, prevention and a cure for diabetes worldwide.

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