Diabetes Care in Nigeria
Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> is a noncommunicable disease that has attained great significance in the sub-Saharan region, with Nigeria being the most affected....
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| Autores principales: | , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Ubiquity Press
2016
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/13a03255da814f8c81df460eaf78d6d0 |
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| Sumario: | Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> is a noncommunicable disease that has attained great significance in the sub-Saharan region, with Nigeria being the most affected. Many persons with the condition suffer a reduced life expectancy and quality of life. Diabetes places an extra burden on the individuals and families affected, especially for the majority of patients unable to access quality health care. Objective: To describe the elements of diabetes management in Nigeria, areas for improvement, and proposed strategies to optimize care. Methods: A systematic literature search was performed on diabetes in Nigeria. Local and nonindexed literature, PubMed, and Google Scholar were used to source information on the subject. Findings: Diabetes-related <a title="Learn more about Morbidity" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/morbidity">morbidity</a> and mortality continue to increase due to population expansion, urban migration, declining physical activity, and dietary factors. The organization of diabetes care is poorly coordinated, especially at the primary and secondary tiers of the public health care system, with consequent poor outcomes. Thus life expectancy (just about 50 years), which is low in the region, is further reduced by the double jeopardy of communicable (eg, <a title="Learn more about Tuberculosis" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/tuberculosis">tuberculosis</a>, <a title="Learn more about HIV/AIDS" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hiv-aids">HIV/AIDS, and</a> malaria) and noncommunicable diseases, such as diabetes and its closely related comorbidity, <a title="Learn more about Hypertension" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hypertension">hypertension</a>. Conclusions: The way forward is to improve maternal and child care, promote screening of at-risk populations, and develop strategies for <a title="Learn more about Primary Prevention" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/primary-prevention">primary prevention</a> and early intervention to optimize <a title="Learn more about Glycemic" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/glycemic">glycemic</a> control. Greater commitment to health care by the government and nongovernmental organizations and greater awareness by Nigerians should facilitate the desired improvements in <a title="Learn more about Disease Prevention" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/disease-prevention">disease prevention</a> and glycemic control in those who are already affected. |
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