title: Childhood diabetes, insulin, and Africa. DERI (Diabetes Epidemiology Research International) Study Group.
abstract: Mortality associated with Type 1 (insulin-dependent) diabetes has perceptually declined with the identification and widespread use of insulin. In the pre-insulin era, over 80% of all individuals developing diabetes died each year, now less than one in two hundred die. Sadly, this remarkable achievement has not reached the children who develop diabetes in sub-Saharan Africa where the onset of childhood diabetes is the equivalent of a death sentence. Two major issues of importance related to Type 1 diabetes in African and other developing countries are missed diagnosis and unavailability of insulin, issues which cannot be ignored.
authors.affiliation: Rangos Research Center, University of Pittsburgh, PA 15213.
authors.forename: M H
authors.initials: MH
authors.lastname: Makame
mesh_terms: D000293:Adolescent; D000349:Africa / Q000453:epidemiology; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000401:mortality*; D006801:Humans; D015994:Incidence; D007328:Insulin / Q000627:therapeutic use*; D015995:Prevalence; D011379:Prognosis
chemical_list: D007328:Insulin