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Hearing impairment - an under-recognized complication of diabetes?

Diabetes-related sensorineural hearing impairment affects people’s ability to hear and understand sounds. Although evidence from as early as the mid-19th century linked diabetes with hearing loss, a degree of controversy has surrounded this association. However, recent research findings suggest that impaired hearing is not only very common among older and middle-aged people with diabetes but affects young people with diabetes to a greater degree than those without the condition.

The importance of a proactive response to a diagnosis of type 2 diabetes

People  with  diabetes  face  a  range  of challenges. Having the condition affects all areas of life; a number of psychological and emotional factors are involved. Recently, one of the authors of this article, Robin Wynyard, was diagnosed with type 2 diabetes. The shock of being diagnosed provoked in him and his partner, Sue Shea, negative feelings that included fear, anxiety and uncertainty – a common emotional response which often goes unreported in the related literature.

The IDF framework for diabetes education - current status and future prospects

The type 2 diabetes epidemic is having a growing impact on individuals, communities, healthcare systems and national economies. There are an estimated 246 million people worldwide diagnosed with some form of diabetes; it is estimated that, by 2025, this number will grow to 380 million. In developing regions, the growth rate of diabetes is 70%, which is greater than that in other parts of the world.

Diabetes and visual impairment - identifying needs, ensuring full accessibility

Many people with diabetes live with some form of visual impairment due to a variety of possible causes. Visual impairment due to diabetic retinopathy is a long-term complication of the condition. Diabetes also raises the risk for visual impairment due to cataracts, glaucoma and stroke. Age-related macular degeneration is not caused by diabetes, but like type 2diabetes, it occurs more frequently as people age, and many people have both.

Inpatient care for people with diabetes - bringing good practice into hospital

People with diabetes occupy a significant proportion of hospital beds – about 10% in the UK, although this may be an underestimate. While diabetes specialists are often based in a hospital, the majority of people with diabetes who are admitted to hospital – at a time when their diabetes might be difficult to control – do not actually meet the diabetes team.

Disease management programmes for diabetes in Germany

The number of people with diabetes is on the rise worldwide, posing previously unknown challenges for healthcare systems. In Germany, the prevalence of diagnosed diabetes is estimated to be nearly 7% – almost 6 million people. Additionally, it is estimated that  around another 3 million people living with diabetes are undiagnosed – around half the population with diabetes aged between 55 and 74 years according to one German study.

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.

The Border Health Strategic Initiative: addressing health disparities in border communities

Approximately 13 million people reside in the 80 Mexican municipalities and 48 US counties located along the US-Mexico border; 86% of those people live in 14 pairs of sister cities – metropolitan areas divided by the frontier. Border residents share similar resources and environmental problems. Issues of great concern include air quality, the availability and quality of water, and animal control. The communities along the border are economically and socially interdependent, with more than a million legal north- and southbound crossings every day.

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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