Health Delivery


The year of the diabetic foot

The human and economic consequences of the diabetic foot are extreme. Due to various complications of diabetes, a person’s foot can become vulnerable. Nerve

Foods and their effects on blood sugar

Until the discovery of insulin in the 1920’s, dietary modification offered the only means of reducing raised blood sugar levels in people with diabetes. Now a wide variety of sophisticated insulin regimes are available; and for people with Type 2 diabetes, there is a range of oral medication. However, there is increasing appreciation that appropriate food selection remains a cornerstone of diabetes management. While it is important to remember that the way in which

Meal-time blood sugar control in pregnancy

We have known for more than half a century that good control of blood sugar (glucose) is important for the normal development of the unborn baby throughout pregnancy. During those years there has been much progress in advising

Designer insulins and meal-time blood glucose control

After the discovery of insulin in the 1920´s, available insulin was from natural sources (animal pancreas) until human insulin was made available in the early 1980s. None of these insulins was ideal for injection under the skin. Now, new

Glucose: sweetness and toxin

Glucose is the fuel on which many parts of our bodies depend. It is also the blood-borne chemical responsible for the damage which causes so many potential problems to people with diabetes. Here Philip Home examines the link between these properties of glucose.

Socio-economic determinants of the costs of diabetes in India

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

Diabetes under fire

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

The human perspective on health-care reform: coping with diabetes in Kyrgyzstan

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.

Meal-time glucose control: the role of oral drugs

As a species, our condition has changed: from prolonged periods of fasting and occasional gorging, to nearly constant feeding with rarely occurring periods of fasting. The constant availability of ‘grazing opportunities’ has contributed to a change in the body build of humans towards increasing body weight, overweight, and obesity. With this change has come a massive increase in the number of people with diabetes and diabetes- and- obesity-related health problems.

Home blood glucose monitoring: a useful self-management tool

There is no doubt that the introduction of home blood glucose monitoring has helped to revolutionize diabetes management and reduce the amount of time people with diabetes need to spend in hospital to stabilize their condition. However, this has given rise to a series of compliance and management issues for the person with diabetes and the health professional who provides their care. Jan Alford reports.