title: Insulin therapy: problems in an African country.
abstract: Major problems of metabolic control are encountered in the 40% of Ethiopian diabetic patients who require insulin. Important contributory factors include the cost of insulin, its erratic supply, and difficulties with handling syringes and obtaining sterility. Economic and social factors also aggravate poor dietary control, a situation exacerbated by religious customs. Geographical and manpower problems contribute to the problem through unsatisfactory follow-up arrangements.
mesh_terms: D003365:Costs and Cost Analysis; D003466:Cultural Characteristics; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D003927:Diet, Diabetic; D005002:Ethiopia; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000600:supply & distribution / Q000627:therapeutic use*; D012646:Self Administration
chemical_list: D007328:Insulin