title: Type 1 diabetes mellitus in the African population: epidemiology and management challenges.
abstract: 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.
authors.affiliation: European Society Paediatric Endocrinology Fellowship Program, Nairobi, Kenya.
authors.forename: Edna S
authors.initials: ES
authors.lastname: Majaliwa
authors.forename: B E Jerome
authors.initials: BE
authors.lastname: Elusiyan
authors.forename: Omotayo O
authors.initials: OO
authors.lastname: Adesiyun
authors.forename: Paul
authors.initials: P
authors.lastname: Laigong
authors.forename: A Kayode
authors.initials: AK
authors.lastname: Adeniran
authors.forename: C Muze
authors.initials: CM
authors.lastname: Kandi
authors.forename: Iroro
authors.initials: I
authors.lastname: Yarhere
authors.forename: S Mary
authors.initials: SM
authors.lastname: Limbe
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Iughetti
mesh_terms: 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
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin