title: [Monitoring of glycemic balance in diabetics living in Africa: a review of glycated hemoglobin measurement methods].
abstract: Diabetes has become a health care problem not only in the first world, but also in developing countries, where the majority of diabetics live. The development of a diabetes care system that can cater for the chronic management of diabetic patients is pivotal to an improvement of this situation. A lack of diagnostic facilities has often been made responsible for a lack in appropriate treatment and for the prevention of complications. However, while this is certainly the case in remote areas with health care available only at the primary or secondary level, preventing complications by securing a good diabetic control is possible now in many cities and/or highly populated regions in developing countries. A prerequisite for this is the ability to monitor retrospectively long-term glycemic control, specifically, measuring the level of glycated proteins or hemoglobins (HbA1c).
authors.affiliation: District sanitaire de Byumba, ministère de la Santé, Rwanda. Seeckstr. 6-10, 13589, Berlin, Allemagne. Rahlenbeck@hotmail.com
authors.forename: Sibylle I
authors.initials: SI
authors.lastname: Rahlenbeck
mesh_terms: D000349:Africa; D001786:Blood Glucose; D002845:Chromatography; D003363:Cost Control; D003365:Costs and Cost Analysis; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000191:economics / Q000628:therapy; D005006:Ethnicity; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007118:Immunoassay; D008991:Monitoring, Physiologic; D010349:Patient Compliance; D011634:Public Health; D012016:Reference Values
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents