Diabetes Mellitus in Peru

BackgroundPeru is an upper medium-income developing country with an increasing prevalence of chronic diseases, including diabetes.ObjectiveTo review and describe the epidemiology, drivers, and diabetes care plan in Peru.<...

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Autor principal:	Jaime E Villena
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	diabetes mellitus epidemiology complications treatment Peru Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2354d9fb124849e0876459530782ca61
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spelling	oai:doaj.org-article:2354d9fb124849e0876459530782ca612021-12-02T03:30:46ZDiabetes Mellitus in Peru2214-9996https://doaj.org/article/2354d9fb124849e0876459530782ca612016-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/133https://doaj.org/toc/2214-9996<p>Background</p><p>Peru is an upper medium-income developing country with an increasing prevalence of chronic diseases, including diabetes.</p><p>Objective</p><p>To review and describe the epidemiology, drivers, and diabetes care plan in Peru.</p><p>Methods</p><p>The medical literature was reviewed based on systematic searching of PubMed, Scielo, and various gray literature from the International Diabetes Federation, World Health Organization, and local Peruvian agencies.</p><p>Findings</p><p>In Peru, diabetes affects 7% of the population. Type 2 diabetes accounts for 96.8% of outpatients visits with this condition. Type 1 diabetes has an incidence of 0.4/100,000 per year, and gestational diabetes affects 16% of pregnancies. The prevalence of glucose intolerance is 8.11% and that of impaired fasting glucose 22.4%. The prevalence of overweight, obesity, and metabolic syndrome in adults is 34.7%, 17.5%, and 25%, respectively. Metabolic syndrome prevalence is greater in women and the elderly and at urban and low-altitude locations. Diabetes is the eighth cause of death, the sixth cause of blindness, and the leading cause of end-stage kidney disease and nontraumatic lower limb amputation. In Peru, diabetes accounts for 31.5% of acute myocardial infarctions and 25% of strokes. Infections, diabetic emergencies, and cardiovascular disorders are the main causes for admissions, with a mortality rate < 10%, mainly as a result of infections, chronic kidney disease, and stroke. Sixty-two percent of the population has health insurance coverage, with inequities in the distribution of health care personnel across the country. Less than 30% of treated patients have a hemoglobin A1c < 7%.</p><p>Conclusions</p><p>Diabetes is a major health care issue in Peru that exposes difficult challenges and shortcomings. The national strategy for tackling diabetes includes promotion of healthy lifestyles; training primary care physicians and providing them with evidence-based clinical practice guidelines, safe and effective medications, and tools for monitoring treatment; and, finally, construction of a comprehensive health care network for early referral in order to prevent, detect, and treat diabetic complications.Jaime E VillenaUbiquity Pressarticlediabetes mellitusepidemiologycomplicationstreatmentPeruInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 6, Pp 765-775 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus epidemiology complications treatment Peru Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	diabetes mellitus epidemiology complications treatment Peru Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Jaime E Villena Diabetes Mellitus in Peru
description	<p>Background</p><p>Peru is an upper medium-income developing country with an increasing prevalence of chronic diseases, including diabetes.</p><p>Objective</p><p>To review and describe the epidemiology, drivers, and diabetes care plan in Peru.</p><p>Methods</p><p>The medical literature was reviewed based on systematic searching of PubMed, Scielo, and various gray literature from the International Diabetes Federation, World Health Organization, and local Peruvian agencies.</p><p>Findings</p><p>In Peru, diabetes affects 7% of the population. Type 2 diabetes accounts for 96.8% of outpatients visits with this condition. Type 1 diabetes has an incidence of 0.4/100,000 per year, and gestational diabetes affects 16% of pregnancies. The prevalence of glucose intolerance is 8.11% and that of impaired fasting glucose 22.4%. The prevalence of overweight, obesity, and metabolic syndrome in adults is 34.7%, 17.5%, and 25%, respectively. Metabolic syndrome prevalence is greater in women and the elderly and at urban and low-altitude locations. Diabetes is the eighth cause of death, the sixth cause of blindness, and the leading cause of end-stage kidney disease and nontraumatic lower limb amputation. In Peru, diabetes accounts for 31.5% of acute myocardial infarctions and 25% of strokes. Infections, diabetic emergencies, and cardiovascular disorders are the main causes for admissions, with a mortality rate < 10%, mainly as a result of infections, chronic kidney disease, and stroke. Sixty-two percent of the population has health insurance coverage, with inequities in the distribution of health care personnel across the country. Less than 30% of treated patients have a hemoglobin A1c < 7%.</p><p>Conclusions</p><p>Diabetes is a major health care issue in Peru that exposes difficult challenges and shortcomings. The national strategy for tackling diabetes includes promotion of healthy lifestyles; training primary care physicians and providing them with evidence-based clinical practice guidelines, safe and effective medications, and tools for monitoring treatment; and, finally, construction of a comprehensive health care network for early referral in order to prevent, detect, and treat diabetic complications.
format	article
author	Jaime E Villena
author_facet	Jaime E Villena
author_sort	Jaime E Villena
title	Diabetes Mellitus in Peru
title_short	Diabetes Mellitus in Peru
title_full	Diabetes Mellitus in Peru
title_fullStr	Diabetes Mellitus in Peru
title_full_unstemmed	Diabetes Mellitus in Peru
title_sort	diabetes mellitus in peru
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/2354d9fb124849e0876459530782ca61
work_keys_str_mv	AT jaimeevillena diabetesmellitusinperu
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Diabetes Mellitus in Peru

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