Developing countries

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Bambi in danger - poverty and unmet needs in Mauritania

Bambi is a 19-year old Mauritanian woman. Illiterate and poor, she is married and has a four-year-old daughter. Early in 2008, she was diagnosed with type 1 diabetes. It took her 10 months of struggle to learn to read her blood glucose monitoring device and inject insulin.

Xiaoping's story: multiple psychosocial barriers to a full and happy life

Xiaoping, a 15-year-old girl living in a rural region of china, was diagnosed with type 1 diabetes in october 2007. since then, her life has undergone a series of dramatic changes.

Further puzzles and uncertainties - and some progress

Editor-in-chief's editorial

Diabetes in Nauru: the price of economic wealth and westernization

While we may believe we understand the connection, Nauruans know first-hand, and perhaps better than anyone else, the bitter link between negative lifestyle change and one of its devastating consequences – type 2 diabetes. Located in the Central Pacific, 60 km south of the equator, Nauru is the smallest independent republic in the world. Its 10,000 inhabitants occupy a single coral island only 6 km long and 4 km wide. Approximately 80% of the population are indigenous Nauruans of Micronesian origin.

'Stomp the Fat' - an effective national weight-reduction campaign

Despite a fall in diabetes prevalence from around 35% in 1975 to 16% in 2004, obesity and non-communicable diseases, including type 2 diabetes, remain the primary threat to health and well-being confronting Nauru in the 21st century. Nauru has few natural resources and, with a population of only 10,000, does not have the critical mass to support manufacturing. Nor, with a tiny land mass of 21 km² and unfavourable topography and soil conditions, can it support farming.

The extraordinary challenges faced by young people with diabetes in the Democratic Republic of Congo

Diabetes in young people is a heavy burden all over the world but it is particularly severe in developing countries. Although the condition is the same, the context can be very different. Young people with diabetes in the Democratic Republic of Congo have to face a number of major challenges. They are perceived as having a ‘mysterious disease’ which requires a lot of attention on a daily basis throughout a lifetime. Belief in spells is quite common in Africa, and many families feel it is their responsibility to find the person responsible for causing the diabetes.

Addressing the daily problems of children and adolescents in South Africa

In South Africa, managing diabetes in children and adolescents can be especially challenging. South Africa is a country of great socio-economic and ethnic diversity, where healthcare, like culture, languages and customs, varies significantly from one area to another. Furthermore, access to healthcare depends on affordability and availability, ranging in quality between developed- and developing-world standards. With these challenges in mind, the DAWN Youth South Africa survey was undertaken to evaluate the effects of diabetes on young people with the condition and their  family.

Promoting opportunities, fighting against isolation in India

India is undergoing an economic transformation – a financial boom according to many. Among India’s strong points contributing to this positive economic climate is its enormous young population. The potential for productivity, savings and investments by this generation will increase in the future, and is driving up levels of investments and confidence in the Indian economy. However, such gains are cancelled out to a large degree by excessive healthcare spending.

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

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