Health Delivery


Ensuring universal access to insulin – the International Insulin Foundation position statement

Nearly a century since its discovery, insulin remains beyond the reach of many people living in parts of the developing world – and access to this life-sustaining medication is problematic for many, many more. The International Insulin Foundation (IIF) was founded in 2002 to improve access to insulin in resource-poor countries.

Key questions about diabetes education in Guatemala – for whom, what kind and how to provide it?

The Guatemalan Ministry of Public Health puts the prevalence of diabetes in urban areas of the country at around 8%.Diabetes complications have become a primary cause of death and disability and an increasing burden to individuals, families, society in general and the economy of the country.

Italy’s Giocampus – an effective publicprivate alliance against childhood obesity

Childhood obesity is a worsening social emergency. It affects even the youngest children and has become a major issue in schools throughout the developed world and beyond. In Italy, recent data from the Ministry of Health show that more than 1 million children, a quarter of all young people between 6 and 11 years old, are overweight; 12% of the child population is obese. In southern regions, the situation has reached staggering proportions: half of all children are overweight or obese. In fact, Italy is now third in the world for childhood obesity – behind the USA and Portugal.

Diabetes self-management education: an effective response to the increasing burden in under-served communities

Diabetes prevalence is increasing in leaps and bounds worldwide.In developing countries, where limited healthcare resources are exacerbated by the needs of growing (and ageing) populations, the burden of diabetes is set to have its greatest and most damaging impact. Previously considered a disease of relatively affluent people living in urban areas, diabetes is now on the rise in rural populations.

Appraising the Multi-SAFE approach to low vision and diabetes: a simple technique for saving feet

The human and economic consequences of diabetes-related foot problems can be harrowing. A person’s foot can become vulnerable due to various complications of diabetes. Nerve damage, vascular problems and delayed wound healing can lead to chronic ulceration. Ensuing infection or the non-healing of an ulcer can result in amputation – one of the most feared and most costly outcomes of diabetes. People with diabetes who also have a visual impairment are at even greater increased risk for serious foot problems and amputation.

Translating evidence into practice: improving access to HbA1c in sub-Saharan Africa

The use of HbA1c is becoming mandatory for good-standard diabetes care thanks to scientific evidence generated over the past two decades worldwide. HbA1c as a reflection of chronic hyperglycaemia is also becoming a key indicator increasingly used for the diagnosis of diabetes. however, underserved populations in poor countries have little awareness of or access to this important diagnostic and monitoring tool.

Prevention and control of type 2 diabetes by Mediterranean diet: a systematic review

In the 1950s and 1960s, the Seven Countries Study looked at the dietary patterns of people living in the Mediterranean region, and the term Mediterranean diet was coined for the first time. Traditional diets were considered to be largely responsible for the good health of people living in Greece and southern Italy. There is no single Mediterranean diet; 20 countries, each with its own socio-cultural and economic circumstances, have a coastline in the Mediterranean basin.

Diet and diabetes: lessons from the ruby red slippers

The 1939 film The Wizard of Oz provides an interesting metaphor for a discussion on type 2 diabetes. In the story, Dorothy, a young girl, is knocked unconscious during a tornado. She and her dog Toto are swept up in the storm and dropped into the Land of Oz, where she is told that to get back home, she must follow the Yellow Brick Road and seek out the magical wizard. Along the way, she meets the Scarecrow, the Tin Man and the Cowardly Lion, who join her, hoping to receive what they lack themselves (a brain, a heart, and courage, respectively).

Preventing diabetes in vulnerable communities - an American Indian story

American Indians lived healthy, balanced lifestyles for thousands of years before they were displaced to reservations. Reservation lands were typically not suitable for sustaining their traditional healthy lifestyles, which involved hunting, gathering, fishing and farming. Many diseases including diabetes were unknown until the 1950s. Nowadays, however, diabetes and its complications are major contributors to death and disability in every Tribal community.

Mobile phone movie making: the Samadhan System of diabetes education

Diabetes education is an effective intervention in the prevention and management of diabetes and also plays an important role in the management of prediabetes conditions like obesity and hypertension. Multiple studies have found that diabetes self-management education is associated with improved diabetes knowledge and selfcare behaviour, improved clinical outcomes, such as lower HbA1c, lower self-reported weight, improved quality of life, healthy coping and lower costs.