Education

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Diabetes foot damage in developing countries: the urgent need for education

Figures released by the International Diabetes Federation suggest that worldwide in 2003 there were almost 200 million people with diabetes – a global prevalence of 5.1%. The report predicted that over the coming decade, the greatest increases in the numbers of people with the condition will occur in Africa and Asia, provoking hugely increased rates of death and disability. Diabetes foot complications constitute a major public health problem, particularly for people with diabetes in developing countries. In this article, Zulfiqarali Abbas and Stephan Morbach look

The dietetics of smoking cessation in people with diabetes

Compared to people without the condition, people with diabetes are at increased risk from vascular diseases – including heart attack and stroke. This risk is further increased in people with diabetes who smoke; smokers with the condition should be advised by their health carers to stop smoking as a matter of urgency. But giving up the habit is not easy. Successful cessation requires people to surmount a number of difficulties, including strong physical, psychological and behavioural

The diabetic foot: epidemiology, risk factors and the status of care

The development of foot problems is not an inevitable consequence of having diabetes. Indeed, most foot lesions are preventable. However, recent statistics are somewhat depressing: approximately a quarter of all people with diabetes worldwide at some point during their lifetime will develop sores or breaks (ulcers) in the skin of their feet. Moreover, as the number of people with diabetes rises worldwide, there can be little doubt that the burden of diabetes-related foot

Keeping people's feet perfect

Guest editor's editorial

Project HOPE Mexico: empowering people to care for themselves and others

If current trends continue, within the next 10 years, a quarter of all people in Mexico will be living with diabetes. Diabetes already affects 12% of the general population and, astonishingly, one in three people over 65 years of age. Diabetes is the leading cause of blindness, kidney failure and lower-limb amputations. Indeed, in 2004, diabetes was declared the leading cause of death in Mexico due to its link

Therapeutic diabetes education: the Cuban experience

Cuba is a small island country in the Caribbean with 11 million inhabitants. As in other countries, diabetes is a major challenge to health in Cuba. In order to reduce the health and economic impact of diabetes and improve the quality of life of people with the condition, a country-wide diabetes education programme began development over 30 years ago, linking and promoting optimum care and education. Rosario García and Rolando Suárez report on the achievements of the programme and highlight the central role of diabetes education over three decades of care initiatives in Cuba.

Diabetes education in Africa: what we need to know

Education is the cornerstone of diabetes care and management. Yet while many health-care professionals subscribe to this idea, it is not applied universally. In developing countries in particular, much work remains to be done in order to improve the content, structure and provision of diabetes education. Margueritte de Clerck looks at education needs in Africa and makes some recommendations on the role and responsibilities of fellow health-care professionals, particularly those who work in low-income countries.

The diabetes community needs you

President's editorial

Improving the quality of life of young people with diabetes in Egypt

In 2000, a group of committed members of the diabetes community in Egypt, including parents of children with the condition and health-care professionals, established ‘Assistance to Youngsters with Diabetes’ (AYD). This is an ambitious project. The ultimate objective of AYD – which recently won the DAWN International Award – is to enhance the quality of life of children with diabetes in

The Signal System: an empowering tool for healthy food choices

If the growing burden of obesity-driven type 2 diabetes is to be stabilized or reduced, the general public must receive adequate information about healthy eating. However, non-compliance with nutrition advice continues to hamper diabetes care. When it is available, this advice is traditionally given in standardized 24-hour menus as a list of ‘don’ts’. People are asked to keep a running count of the carbohydrates or calories they consume throughout the day. It is therefore not surprising that nutrition advice is perceived by many as being difficult to follow;

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