Type 1 diabetes mellitus in the African population: epidemiology and management challenges.
Type 1 Diabetes Mellitus (T1DM) is a growing concern worldwide; while there has been a great improvement in the knowledge, epidemiology and management of this condition in the developed worlds, there has been little or no improvement in sub-Saharan Africa. The true burden of this disease is not even known, but a difference in the pattern and outcome of T1DM in the sub-Saharan Africa compared to the western World seems to be present. Moreover, much of the available data is not population-based and is of limited value for making generalizations about Diabetes in children of Sub-Saharan Africa. Despite the limitations, there is evidence that these populations may be important for studying the aetiology and natural history of Type 1 diabetes. Effective management and/or prevention of diabetes and its complications in Sub-Saharan African children should adopt multidisciplinary approaches. In order to improve care for diabetes patients in developing countries, specialized clinics need to be established.
Majaliwa
Edna S
ES
European Society Paediatric Endocrinology Fellowship Program, Nairobi, Kenya.
Elusiyan
B E Jerome
BE
Adesiyun
Omotayo O
OO
Laigong
Paul
P
Adeniran
A Kayode
AK
Kandi
C Muze
CM
Yarhere
Iroro
I
Limbe
S Mary
SM
Iughetti
Lorenzo
L
D000293:Adolescent; D017954:Africa South of the Sahara; D000367:Age Factors; D000462:Algeria / Q000453:epidemiology; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control; D003937:Diagnosis, Differential; D005260:Female; D005544:Forecasting; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D015994:Incidence; D007328:Insulin / Q000627:therapeutic use; D008002:Libya / Q000453:epidemiology; D008297:Male; D009018:Morocco / Q000453:epidemiology; D009549:Nigeria / Q000453:epidemiology; D011203:Poverty; D015995:Prevalence; D012737:Sex Factors; D013397:Sudan / Q000453:epidemiology; D013636:Tanzania / Q000453:epidemiology; D014416:Tunisia / Q000453:epidemiology
D007004:Hypoglycemic Agents; D007328:Insulin