Diabetes Care in Brazil

<p>Background</p><p>The diabetes epidemic affects most countries across the world and is increasing at alarming rates in Latin America. Nearly 12 million individuals have diabetes in Brazil, and the current prevalence ranges from 6.3% to 13.5%, depending on the region and the diagn...

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Autores principales:	Walmir F Coutinho, Wellington Santana Silva Júnior
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	Brazil diabetes diabetes care health care expenditures Latin America public health care type 2 diabetes Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d683e215f3d74d2987fb2fb3efc201df
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spelling	oai:doaj.org-article:d683e215f3d74d2987fb2fb3efc201df2021-12-02T07:40:43ZDiabetes Care in Brazil2214-9996https://doaj.org/article/d683e215f3d74d2987fb2fb3efc201df2016-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/90https://doaj.org/toc/2214-9996<p>Background</p><p>The diabetes epidemic affects most countries across the world and is increasing at alarming rates in Latin America. Nearly 12 million individuals have diabetes in Brazil, and the current prevalence ranges from 6.3% to 13.5%, depending on the region and the diagnostic criteria adopted in each study.</p><p>Objective</p><p>To provide an overview of diabetes care in Brazil, focusing on studies of diabetes epidemiology, prevalence of patients within the standard targets of care, and economic burden of diabetes and its complications.</p><p>Methods</p><p>SciELO and PubMed searches were performed for the terms “diabetes,” “Brazil,” “Brazilian,” and “health system”; relevant literature from 1990 to 2015 was selected. Additional articles identified from reference list searches were also included. All articles selected were published in Portuguese and/or English.</p><p>Findings</p><p>Recent studies detected a prevalence of gestational diabetes mellitus of nearly 20%. Among patients with type 1 diabetes, almost 90% fail to reach target of glycemic control, with less than 30% receiving treatment for both hypertension and dyslipidemia. More than 75% of patients with type 2 diabetes are either overweight or obese. Most of these patients fail to reach glycemic targets (42.1%) and less than 30% reached the target for systolic and diastolic blood pressure, body mass index, or low-density lipoprotein cholesterol. Only 0.2% of patients reach all these anthropometric and metabolic targets.</p><p>Conclusions</p>Brazil is the fourth country in the world in number of patients with diabetes. Regardless of the diabetes type, the majority of patients do not meet other metabolic control goals. The economic burden of diabetes and its complications in Brazil is extremely high, and more effective approaches for preventions and management are urgently needed.Walmir F CoutinhoWellington Santana Silva JúniorUbiquity PressarticleBrazildiabetesdiabetes carehealth care expendituresLatin Americapublic health caretype 2 diabetesInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 6, Pp 735-741 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Brazil diabetes diabetes care health care expenditures Latin America public health care type 2 diabetes Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Brazil diabetes diabetes care health care expenditures Latin America public health care type 2 diabetes Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Walmir F Coutinho Wellington Santana Silva Júnior Diabetes Care in Brazil
description	<p>Background</p><p>The diabetes epidemic affects most countries across the world and is increasing at alarming rates in Latin America. Nearly 12 million individuals have diabetes in Brazil, and the current prevalence ranges from 6.3% to 13.5%, depending on the region and the diagnostic criteria adopted in each study.</p><p>Objective</p><p>To provide an overview of diabetes care in Brazil, focusing on studies of diabetes epidemiology, prevalence of patients within the standard targets of care, and economic burden of diabetes and its complications.</p><p>Methods</p><p>SciELO and PubMed searches were performed for the terms “diabetes,” “Brazil,” “Brazilian,” and “health system”; relevant literature from 1990 to 2015 was selected. Additional articles identified from reference list searches were also included. All articles selected were published in Portuguese and/or English.</p><p>Findings</p><p>Recent studies detected a prevalence of gestational diabetes mellitus of nearly 20%. Among patients with type 1 diabetes, almost 90% fail to reach target of glycemic control, with less than 30% receiving treatment for both hypertension and dyslipidemia. More than 75% of patients with type 2 diabetes are either overweight or obese. Most of these patients fail to reach glycemic targets (42.1%) and less than 30% reached the target for systolic and diastolic blood pressure, body mass index, or low-density lipoprotein cholesterol. Only 0.2% of patients reach all these anthropometric and metabolic targets.</p><p>Conclusions</p>Brazil is the fourth country in the world in number of patients with diabetes. Regardless of the diabetes type, the majority of patients do not meet other metabolic control goals. The economic burden of diabetes and its complications in Brazil is extremely high, and more effective approaches for preventions and management are urgently needed.
format	article
author	Walmir F Coutinho Wellington Santana Silva Júnior
author_facet	Walmir F Coutinho Wellington Santana Silva Júnior
author_sort	Walmir F Coutinho
title	Diabetes Care in Brazil
title_short	Diabetes Care in Brazil
title_full	Diabetes Care in Brazil
title_fullStr	Diabetes Care in Brazil
title_full_unstemmed	Diabetes Care in Brazil
title_sort	diabetes care in brazil
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/d683e215f3d74d2987fb2fb3efc201df
work_keys_str_mv	AT walmirfcoutinho diabetescareinbrazil AT wellingtonsantanasilvajunior diabetescareinbrazil
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Diabetes Care in Brazil

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