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Review
. 2020 Aug 13:11:518.
doi: 10.3389/fendo.2020.00518. eCollection 2020.

The Challenges in the Development of Diabetes Prevention and Care Models in Low-Income Settings

Feneli Karachaliou  1 , George Simatos  2 , Aristofania Simatou  1
Affiliations
Review

The Challenges in the Development of Diabetes Prevention and Care Models in Low-Income Settings

Feneli Karachaliou et al. Front Endocrinol (Lausanne). .

Abstract

In low- and middle-income countries (LMICs), the burden of non-communicable diseases such as diabetes is rapidly rising, overpassing the existing burden of communicable diseases. Patients with diabetes living in low-income communities face unique challenges related to lack of awareness, difficulty in accessing health care systems and medications, and consequently failure in achieving optimal diabetes management and preventing complications. Effective diabetes prevention and care models could help reduce the rising burden by standardizing guidelines for prevention and management, improving access to care, engaging community and peers, improving the training of professionals and patients and using the newest technology in the management of the disease. In this article, we review the latest research and evidence on effective models of diabetes prevention and diabetes care delivery in low- income settings. We also provide existing evidence relating to the effectiveness of these models in low-resource contexts, with the aim to highlight characteristics and strengths that make their implementation successful and long-lasting.

Keywords: diabetes management; diabetes mellitus; diabetes prevention; health care models; low and middle income.

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References

    1. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. . Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. (2013) 380:2197–223. 10.1016/S0140-6736(12)61690-0 - DOI - PubMed
    1. Han Cho N, Forouhi N, Guariguata L, Hambleton I, Li R, Majeed A, et al. IDF Diabetes Atlas- Seventh Edition. (2015) Retrieved from: www.diabetesatlas.org (accessed June 24, 2020).
    1. Guariguata L, Whiting D, Hambleton I, Beagley J, Linnenkamp U, Shaw J. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. (2014) 103:137–49. 10.1016/j.diabres.2013.11.002 - DOI - PubMed
    1. Hu FB. Globalization of diabetes the role of diet, lifestyle, and genes. Diabetes Care. (2011) 34:1249–57. 10.2337/dc11-0442 - DOI - PMC - PubMed
    1. International Diabetes Federation IDF Diabetes Atlas. 9th ed Brussels: Belgium: (2019). Available online at : https://www.diabetesatlas.org (accessed June 24, 2020).

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