Diabetes Care in Republic of Macedonia: Challenges and Opportunities
Background: The Republic of Macedonia (RoM) has experienced a rapid rise in the prevalence of type 2 <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">diabetes</a> (T2D) over the past 2 decades, a period c...
Guardado en:
| Autores principales: | , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Ubiquity Press
2016
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/4c379470384844d9a7000ae445e0f0d4 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| Sumario: | Background: The Republic of Macedonia (RoM) has experienced a rapid rise in the prevalence of type 2 <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">diabetes</a> (T2D) over the past 2 decades, a period characterized by significant social, political, and economic change. RoM now has one of the highest rates of diabetes in Europe. Objectives: To explore the modifiable conditions that may underlie and exacerbate the T2D epidemic; describe the state of diabetes care; and consider improved mechanisms for prevention and treatment, including research priorities, in RoM. Methods: Methods included data mining from reliable sources and collaboration of authors to consider and describe applications of research from outside RoM and to identify evidence-based strategies to reduce the burden of T2D in RoM. Findings: In 2014, the national prevalence of diabetes was 11.44% of the population (20-79 years) of RoM. Per capita <a title="Learn more about Caloric Intake" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/caloric-intake">caloric intake</a> has increased significantly over the past 2 decades, with the majority of these calories coming from sugar, pork, chicken, beef, and sunflower oil. Excess calories, in the form of nutrient-deficient foods, animal products, and added oils promote <a title="Learn more about Insulin resistance" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/insulin-resistance">insulin resistance</a> and T2D. Tobacco use and lack of physical activity also contribute to the diabetes epidemic. <a title="Learn more about Insulin (medication)" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/insulin-medication">Insulin</a>, especially insulin analogues, are widely available and used to manage diabetes, often over other interventions that are more appropriate for patients with T2D, and more frequently than in other more developed countries, resulting in higher and unsustainable related costs. Conclusions: A new National <a title="Learn more about e-Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/e-health">eHealth</a> System allows for better identification and monitoring of citizens with diabetes. However, the rapidly growing expense of insulin in the past has been unsustainable. The potential exists for a stronger role for <a title="Learn more about Lifestyle Intervention" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/lifestyle-intervention">lifestyle interventions</a> in prevention and treatment of T2D. Significant changes in dietary patterns parallel the rise in diabetes prevalence and are likely a leading cause of diabetes and its complications. Research in RoM is needed to determine the impact and acceptability of <a title="Learn more about Dietary Intervention" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/dietary-intervention">dietary interventions</a> for prevention and treatment of T2D, as a first step toward reduction of diabetes prevalence and its complications and controlling spiraling <a title="Learn more about Health Care Cost" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-cost">health care costs</a>. |
|---|