Diabetes is rapidly emerging as a major health-care problem in India, especially in urban areas where the prevalence of Type 2 diabetes has been reported as 12% of the adult population. Furthermore, there is an equally large pool of people with
In the last issue of Diabetes Voice Panagiotis Tsapogas presented a view of diabetes care in Gaza from the perspective of his work with Médecins Sans Frontières. Here, Itamar Raz, President of the Israel Diabetes Association (IDA), presents a view from the perspective of an Israeli person living in the region, and from the leading Palestinian physicians with whom he collaborates. Together they struggle in the midst of the disruptions to deliver diabetes health care across the
Kyrgyzstan is a small mountainous country with a predominantly agricultural economy; it gained independence with the break-up of the Soviet Union in 1991. For a significant sector of the Kyrgyzstani population, economic difficulties at national level translate into high unemployment and widespread impoverishment. Kyrgyzstan inherited an extensive but basic health-care system, with a functioning – albeit fragmented – structure for managing chronic diseases.
Insulin is a life-sustaining medication and as such has been designated an ‘essential drug’ by the World Health Organization (WHO). Insulin therefore should be universally available to everyone who requires it for survival. However, accessibility to the drug is often not secure. This results in life-threatening
complications for people who depend on insulin for survival. The authors of this article, in reporting on the results of the International Diabetes Federation (IDF) survey, 2002-2003, make a call for improvements to the pricing and availability
For the West, the availability of animal insulin is a question of freedom of choice. However, it is the only way of survival for a number of people with diabetes in the developing world. Will the plea for help from the people with diabetes in the developing countries, in search of life, go unnoticed, unheard?
The growing diabetes crisis in the United States is a well reported fact. Nevertheless, diabetes-affected families are often being left out in the cold.
Many are forced to dig deeply into their own pockets because, in many cases, even if insurance is available, insulin, syringes and blood glucose testing equipment as well as medical services such as outpatient education, so essential for diabetes care, are not covered.
People with diabetes in Hungary have access to free insulin, subsidized medication and diabetes equipment within a healthcare system whereby diabetes care is provided mainly by General Practitioners (GPs). Only a small number of people with diabetes - those with type 1 and difficult type 2 cases - are treated at national diabetes centres. These diabetes centres however provide a guarantee for better healthcare for all by consulting with and organizing postgraduate training for family doctors.
The world has received shocking news on earthquakes and flooding in many countries in recent months. Not long ago, the war in Kosovo and the earthquakes in Venezuela were the main topics in the news in which thousands of deaths and injuries, lost homes and destroyed villages and cities were reported. What are the worst problems for people with diabetes in these catastrophic situations? What can be done on a local and international basis to help them survive and continue their lives under such difficult circumstances?