International Models of Care that Address the Growing Diabetes Prevalence in Developing Countries.
Diabetes care involves a complex interaction between patients, physicians, the health care system, and society. In low- and middle-income countries (LMICs), where the majority of individuals with diabetes live, there is a shortage of resources and infrastructure for diabetes care. Translation of proven interventions for diabetes prevention and care from experimental settings to the real world is a major challenge, and there is limited evidence from LMICs. To curtail the diabetes burden in LMICs, it is crucial to develop and execute innovative diabetes care models that improve access to care, knowledge, and outcomes. Additionally, adequate training of local health professionals and community engagement can help LMICs become self-sufficient in delivery of diabetes care. In this paper, we reviewed the existing models of diabetes care and prevention in LMICs and provided recommendations to guide the development of a comprehensive and effective future model for diabetes care in LMICs.
Department of Endocrinology & Metabolism, All India Institute of Medical Sciences, Biotechnology Block, 3rd Floor, Ansari Nagar, New Delhi, 110 029, India. kavita@ccdcindia.org.|Centre for Chronic Disease Control, New Delhi, India. kavita@ccdcindia.org.
Kavita
K
Singh
Madras Diabetes Research Foundation, 4B Conron Smith Road, Gopalapuram, Chennai, 600086, India.
Harish
H
Ranjani
Laney Graduate School, Nutrition and Health Sciences, Emory University, 1518 Clifton Road, NE, Atlanta, GA, USA.
Elizabeth
E
Rhodes
Hubert Department of Global Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA, USA.
Mary Beth
MB
Weber
D003906:Developing Countries / Q000191:economics / Q000706:statistics & numerical data*; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D007182:Income; D038622:Internationality; D008962:Models, Theoretical; D005791:Patient Care; D015995:Prevalence
Diabetes care models; Diabetes management; Electronic medical records; Low- and middle-income countries; Prevention; Task shifting