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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.

Globalization and the dual burden in sub-Saharan Africa

In sub-Saharan Africa, infectious diseases still cause the majority (69%) of deaths; chronic non-communicable diseases such as cardiovascular disease, diabetes, chronic respiratory disease and cancers, contribute around 25%. But this picture is changing as sub-Saharan Africa undergoes an epidemiological transition with a rapidly increasing chronic non-communicable disease burden.

Where the search for a cure will take us: what to look for in type 1 diabetes research in the coming decade

In 1970, parents of children with type 1 diabetes in America organized what has become the Juvenile Diabetes Research Foundation (JDRF). The JDRF’s mission, then as now, has been constant: to find a cure for type 1 diabetes and its complications through the vehicle of research. JDRF has grown to be the world’s largest charitable funder and advocate for type 1 diabetes research. Although based in the USA, JDRF has always supported the best research in type 1 diabetes, wherever it may be.

D-START: supporting innovative translational research projects in developing countries

In the three years since its inception and after two initial rounds of funding, the International Diabetes Federation’s BRIDGES programme has become one of the principal funding initiatives in diabetes worldwide. With the recent announcement of its third round of funding, BRIDGES has consolidated its position in the fast-developing and innovative sector of translational research.

Promoting foot care education in developing countries: the Caribbean Diabetic Foot Care Programme

There are 285 million people living with diabetes worldwide, the number of affected people is predicted to reach 438 million by 2030. Because of the rapid increase in diabetes prevalence, the number of diabetes complications is rising equally quickly. Amputation is one of the most feared of these complications. People with diabetes are at risk for nerve damage and problems with the supply of blood to their feet. Nerve damage results in a reduced ability to feel pain and, as a consequence, injuries often go unnoticed. Moreover, poor blood supply can slow down the process of wound healing.


Access to insulin and barriers to care: results of the RAPIA in Vietnam

Access to diabetes care in many countries is problematic due to a variety of factors. These can range from the cost of medication to the distance that people with diabetes need to travel to access a trained healthcare provider. Without adequate access to medication and care, people with diabetes face complications and early death. The authors report on an evaluation of the provision of care and supplies for people with diabetes in Vietnam.

 


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